GABRIELLA ROTHBERGER
Controlled Substance Registration for Practitioner


Address: 64 W 108th St Apt 6c, New York, NY 10025-3238

GABRIELLA ROTHBERGER (Credential# 1258619) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 3, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

GABRIELLA ROTHBERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059126. The credential type is controlled substance registration for practitioner. The effective date is January 3, 2015. The expiration date is February 28, 2017. The business address is 64 W 108th St Apt 6c, New York, NY 10025-3238. The current status is inactive.

Basic Information

Licensee Name GABRIELLA ROTHBERGER
Credential ID 1258619
Credential Number CSP.0059126
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 64 W 108th St Apt 6c
New York
NY 10025-3238
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-01-03
Effective Date 2015-01-03
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1247166 1.053774 Physician/Surgeon 2015-01-02 2016-02-01 - 2017-01-31 INACTIVE

Office Location

Street Address 64 W 108TH ST APT 6C
City NEW YORK
State NY
Zip Code 10025-3238

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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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