FELICIA A MENDELSOHN MD
Controlled Substance Registration for Practitioner


Address: 134 East 73rd St, New York, NY 10021

FELICIA A MENDELSOHN MD (Credential# 511114) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

FELICIA A MENDELSOHN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044208. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 134 East 73rd St, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name FELICIA A MENDELSOHN MD
Credential ID 511114
Credential Number CSP.0044208
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 134 East 73rd St
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-08-08
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
564391 1.046809 Physician/Surgeon 2008-07-21 2012-07-01 - 2013-06-30 INACTIVE
380566 CSP.0036021 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-10-12 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 134 EAST 73RD ST
City NEW YORK
State NY
Zip Code 10021

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Competitor

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City NEW YORK
Zip Code 10021
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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