ADAM R SILEVITCH
Controlled Substance Registration for Practitioner


Address: 189 W 89th St Apt 6q, New York, NY 10024-1963

ADAM R SILEVITCH (Credential# 942789) 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

ADAM R SILEVITCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047948. 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 189 W 89th St Apt 6q, New York, NY 10024-1963. The current status is inactive.

Basic Information

Licensee Name ADAM R SILEVITCH
Credential ID 942789
Credential Number CSP.0047948
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 189 W 89th St Apt 6q
New York
NY 10024-1963
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-07-13
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
931961 2.010265 Dentist 2010-06-03 2010-10-01 - 2011-09-30 INACTIVE

Office Location

Street Address 189 W 89TH ST APT 6Q
City NEW YORK
State NY
Zip Code 10024-1963

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City NEW YORK
Zip Code 10024
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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