IAN M DESTEFANO
Controlled Substance Registration for Practitioner


Address: 448 W 55th St Apt 3b, New York, NY 10019-4352

IAN M DESTEFANO (Credential# 1298285) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

IAN M DESTEFANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060922. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 448 W 55th St Apt 3b, New York, NY 10019-4352. The current status is lapsed.

Basic Information

Licensee Name IAN M DESTEFANO
Credential ID 1298285
Credential Number CSP.0060922
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 448 W 55th St Apt 3b
New York
NY 10019-4352
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-07-08
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1289668 47.004104 Veterinarian 2015-07-06 2016-09-01 - 2017-08-31 INACTIVE

Office Location

Street Address 448 W 55TH ST APT 3B
City NEW YORK
State NY
Zip Code 10019-4352

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Competitor

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City NEW YORK
Zip Code 10019
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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