JOSHUA B SHAYEFAR
Controlled Substance Registration for Practitioner


Address: 232 W 96th St Apt 105, New York, NY 10025-6317

JOSHUA B SHAYEFAR (Credential# 1409642) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JOSHUA B SHAYEFAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064932. The credential type is controlled substance registration for practitioner. The effective date is March 2, 2017. The expiration date is February 28, 2019. The business address is 232 W 96th St Apt 105, New York, NY 10025-6317. The current status is lapsed.

Basic Information

Licensee Name JOSHUA B SHAYEFAR
Credential ID 1409642
Credential Number CSP.0064932
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 232 W 96th St Apt 105
New York
NY 10025-6317
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-03-02
Effective Date 2017-03-02
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1397991 2.011775 Dentist 2017-02-03 2017-09-01 - 2018-08-31 INACTIVE

Office Location

Street Address 232 W 96TH ST APT 105
City NEW YORK
State NY
Zip Code 10025-6317

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City NEW YORK
Zip Code 10025
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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