DMITRY VOLFSON
Controlled Substance Registration for Practitioner


Address: 269 Giffords Ln, Staten Island, NY 10308-1647

DMITRY VOLFSON (Credential# 1269545) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

DMITRY VOLFSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059602. The credential type is controlled substance registration for practitioner. The effective date is February 27, 2015. The expiration date is February 28, 2017. The business address is 269 Giffords Ln, Staten Island, NY 10308-1647. The current status is inactive.

Basic Information

Licensee Name DMITRY VOLFSON
Credential ID 1269545
Credential Number CSP.0059602
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 269 Giffords Ln
Staten Island
NY 10308-1647
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-02-27
Effective Date 2015-02-27
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
916294 1.048707-DO Physician/Surgeon 2010-05-03 2015-06-01 - 2016-05-31 INACTIVE
932874 CSP.0047669 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-05-27 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 269 GIFFORDS LN
City STATEN ISLAND
State NY
Zip Code 10308-1647

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Competitor

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City STATEN ISLAND
Zip Code 10308
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND

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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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