YULI FRADKIN MD
Controlled Substance Registration for Practitioner


Address: 63 Claremont Ave, Montclair, NJ 07042

YULI FRADKIN MD (Credential# 924979) 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

YULI FRADKIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047541. 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 63 Claremont Ave, Montclair, NJ 07042. The current status is inactive.

Basic Information

Licensee Name YULI FRADKIN MD
Credential ID 924979
Credential Number CSP.0047541
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 63 Claremont Ave
Montclair
NJ 07042
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-07-21
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
924303 1.048994 Physician/Surgeon 2010-07-15 2016-01-01 - 2016-12-31 INACTIVE

Office Location

Street Address 63 Claremont ave
City Montclair
State NJ
Zip Code 07042

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Competitor

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City Montclair
Zip Code 07042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Montclair

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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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