STEVE YUSUPOV
Controlled Substance Registration for Practitioner


Address: 6939 Yellowstone Blvd Apt 120, Forest Hills, NY 11375-3784

STEVE YUSUPOV (Credential# 1157347) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

STEVE YUSUPOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054490. The credential type is controlled substance registration for practitioner. The effective date is April 8, 2013. The expiration date is February 28, 2015. The business address is 6939 Yellowstone Blvd Apt 120, Forest Hills, NY 11375-3784. The current status is inactive.

Basic Information

Licensee Name STEVE YUSUPOV
Credential ID 1157347
Credential Number CSP.0054490
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6939 Yellowstone Blvd Apt 120
Forest Hills
NY 11375-3784
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-04-08
Effective Date 2013-04-08
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1120887 2.010887 Dentist 2012-11-07 2012-11-07 - 2013-09-30 INACTIVE

Office Location

Street Address 6939 YELLOWSTONE BLVD APT 120
City FOREST HILLS
State NY
Zip Code 11375-3784

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Competitor

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City FOREST HILLS
Zip Code 11375
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FOREST HILLS

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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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