EDWARD A KULICH
Controlled Substance Registration for Practitioner


Address: 1601 Voorhies Ave 2nd Fl, Brooklyn, NY 11235

EDWARD A KULICH (Credential# 968461) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

EDWARD A KULICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049052. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1601 Voorhies Ave 2nd Fl, Brooklyn, NY 11235. The current status is inactive.

Basic Information

Licensee Name EDWARD A KULICH
Credential ID 968461
Credential Number CSP.0049052
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1601 Voorhies Ave 2nd Fl
Brooklyn
NY 11235
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2010-10-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-14

Other licenses

ID Credential Code Credential Type Issue Term Status
943881 1.049132 Physician/Surgeon 2010-08-18 2019-12-01 - 2020-11-30 ACTIVE
869844 70.960830 Emergency Medical Technician 1996-05-01 - 1998-06-30 INACTIVE

Office Location

Street Address 1601 Voorhies Ave 2nd Fl
City BROOKLYN
State NY
Zip Code 11235

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Competitor

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City BROOKLYN
Zip Code 11235
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Edward H Kim 2 Sparrow La, Unionville, CT 06085 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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Edward F Fox Md 111 Oakridge Rd, Bristol, CT 06010 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
Edward T Sze 152 Temple St Apt 513, New Haven, CT 06510-2613 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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Edward J Zaczynski Md 150 Hill St, Suffield, CT 06078 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28
Edward S Drysgula Jr 775 Washington St, Middletown, CT 06457-2903 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Edward J Glavey Do 80 Seymour St, Hartford, CT 06102 Controlled Substance Registration for Practitioner 2003-03-10 ~ 2004-02-28

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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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