JOAO MIGUEL SERIGADO SOARES DA COSTA
Controlled Substance Registration for Practitioner


Address: 140east 46th Street; Apt# 4c, New York, NY 10017

JOAO MIGUEL SERIGADO SOARES DA COSTA (Credential# 1345072) 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

JOAO MIGUEL SERIGADO SOARES DA COSTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062420. 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 140east 46th Street; Apt# 4c, New York, NY 10017. The current status is lapsed.

Basic Information

Licensee Name JOAO MIGUEL SERIGADO SOARES DA COSTA
Credential ID 1345072
Credential Number CSP.0062420
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 140east 46th Street; Apt# 4c
New York
NY 10017
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-05-18
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
1351744 1.055274 Physician/Surgeon 2016-05-18 2017-03-01 - 2018-02-28 INACTIVE

Office Location

Street Address 140East 46th street; apt# 4C
City New York
State NY
Zip Code 10017

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Competitor

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City New York
Zip Code 10017
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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