AGNIESZKA WISNIEWSKA
Controlled Substance Registration for Practitioner


Address: 4720 Center Blvd, Long Island City, NY 11109

AGNIESZKA WISNIEWSKA (Credential# 937364) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

AGNIESZKA WISNIEWSKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047841. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 4720 Center Blvd, Long Island City, NY 11109. The current status is inactive.

Basic Information

Licensee Name AGNIESZKA WISNIEWSKA
Credential ID 937364
Credential Number CSP.0047841
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4720 Center Blvd
Long Island City
NY 11109
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-06-28
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
909361 1.048480 Physician/Surgeon 2010-03-01 2011-04-01 - 2012-03-31 INACTIVE

Office Location

Street Address 4720 Center Blvd
City Long Island City
State NY
Zip Code 11109

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Marie Carreon 4610 Center Blvd, Long Island City, NY 11109 Registered Nurse ~
Nicole R. Hurley 4-75 48th Avenue, Apt. 3509, Long Island City, NY 11109 Notary Public Appointment 2020-02-05 ~ 2024-07-31
Michael C Rawley 4545 Center Blvd, New York, NY 11109 Registered Nurse 2019-11-01 ~ 2020-10-31
Caitlin Kevins 4540 Center Blvd, Long Island City, NY 11109 Professional Engineer 2018-02-01 ~ 2019-01-31
Irum Nawaz Khan Apt 3301, 475 48th Ave, Long Island City, NY 11109 Physician/surgeon 2019-12-02 ~ 2020-12-31
Michael I Packman Md 475 48th Avenue, Long Island City, NY 11109 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Soon Y Hwang Dds 4720 Center Blvd Apt518, Long Island City, NY 11109 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Nhu Duong Q Tina Dao 475 48th Ave, Long Island City, NY 11109-5501 Pharmacist 2012-03-28 ~ 2014-01-31
Nicolas Eduardo Palacios Meza 475 48th Ave Apt 1605, Long Island City, NY 11109-5516 Controlled Substance Registration for Practitioner 2020-01-14 ~ 2021-02-28
Nishit Khushal Mehta 475 48th Ave Apt 2208, Long Island City, NY 11109-5521 Certified Public Accountant License 2016-07-21 ~ 2016-12-31
Find all Licenses in zip 11109

Competitor

Search similar business entities

City Long Island City
Zip Code 11109
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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