RACHID ELKOUSTAF
Controlled Substance Registration for Practitioner


Address: 3436 29th St, Long Island City, NY 11106-3504

RACHID ELKOUSTAF (Credential# 933115) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 7, 2010. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

RACHID ELKOUSTAF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047695. The credential type is controlled substance registration for practitioner. The effective date is June 7, 2010. The expiration date is February 28, 2011. The business address is 3436 29th St, Long Island City, NY 11106-3504. The current status is inactive.

Basic Information

Licensee Name RACHID ELKOUSTAF
Credential ID 933115
Credential Number CSP.0047695
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3436 29th St
Long Island City
NY 11106-3504
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-06-07
Effective Date 2010-06-07
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 3436 29TH ST
City LONG ISLAND CITY
State NY
Zip Code 11106-3504

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City LONG ISLAND CITY
Zip Code 11106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONG ISLAND CITY

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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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