CHRISTOS A KOUTENTIS
Controlled Substance Registration for Practitioner


Address: 250 E Houston St Apt 9f, New York, NY 10002-1040

CHRISTOS A KOUTENTIS (Credential# 1249319) 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

CHRISTOS A KOUTENTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058845. 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 250 E Houston St Apt 9f, New York, NY 10002-1040. The current status is inactive.

Basic Information

Licensee Name CHRISTOS A KOUTENTIS
Credential ID 1249319
Credential Number CSP.0058845
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 250 E Houston St Apt 9f
New York
NY 10002-1040
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2014-10-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1131309 1.051729 Physician/Surgeon 2013-03-25 2018-09-01 - 2019-08-31 INACTIVE

Office Location

Street Address 250 E HOUSTON ST APT 9F
City NEW YORK
State NY
Zip Code 10002-1040

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City NEW YORK
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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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