LITA AEDER
Controlled Substance Registration for Practitioner


Address: 7509 137th St, Flushing, NY 11367-2830

LITA AEDER (Credential# 908008) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

LITA AEDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047070. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 7509 137th St, Flushing, NY 11367-2830. The current status is inactive.

Basic Information

Licensee Name LITA AEDER
Credential ID 908008
Credential Number CSP.0047070
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7509 137th St
Flushing
NY 11367-2830
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-12-30
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
900383 1.048304 Physician/Surgeon 2009-12-11 2015-03-01 - 2016-02-29 INACTIVE

Office Location

Street Address 7509 137TH ST
City FLUSHING
State NY
Zip Code 11367-2830

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City FLUSHING
Zip Code 11367
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FLUSHING

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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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