TUNESIA L MITCHELL
Controlled Substance Registration for Practitioner


Address: 470 Malcolm X Blvd Apt 2g, New York, NY 10037-3012

TUNESIA L MITCHELL (Credential# 899839) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 20, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

TUNESIA L MITCHELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046849. The credential type is controlled substance registration for practitioner. The effective date is October 20, 2009. The expiration date is February 28, 2011. The business address is 470 Malcolm X Blvd Apt 2g, New York, NY 10037-3012. The current status is inactive.

Basic Information

Licensee Name TUNESIA L MITCHELL
Credential ID 899839
Credential Number CSP.0046849
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 470 Malcolm X Blvd Apt 2g
New York
NY 10037-3012
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-10-20
Effective Date 2009-10-20
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
896555 23.002329 Physician Assistant 2009-09-24 2009-09-24 - 2010-08-31 INACTIVE

Office Location

Street Address 470 MALCOLM X BLVD APT 2G
City NEW YORK
State NY
Zip Code 10037-3012

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City NEW YORK
Zip Code 10037
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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