NICOLAUS MEPHIS (Credential# 1424722) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NICOLAUS MEPHIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065436. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 105-24 63 Drive Apt 3-k, Forest Hills, NY 11375. The current status is active.
| Licensee Name | NICOLAUS MEPHIS |
| Credential ID | 1424722 |
| Credential Number | CSP.0065436 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
105-24 63 Drive Apt 3-k Forest Hills NY 11375 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488678 | 1.058073-RES | Resident Physician | 2017-06-28 | 2020-06-28 - 2020-10-24 | ACTIVE |
| Street Address | 105-24 63 DRIVE APT 3-K |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Berta Shchegol | 110-24 67th Drive, Forest Hills, NY 11375 | Dentist | ~ |
| Lawrence M Rosenbloom | 110-11 Queens Blvd., Forest Hills, NY 11375 | Architect | 2020-08-01 ~ 2021-07-31 |
| Beatrice E Hunt | 43 Exeter St, Forest Hills, NY 11375 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elena Chachik | 108-25 72 Ave 3b, Forest Hills, NY 11375 | Dentist | 2020-06-10 ~ 2021-03-31 |
| Lina F Spartos | 99-15 Ascan Ave., Forest Hills, NY 11375 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Isabella Mihaelson | 100-10 67th Rd #4-g, Forest Hills, NY 11375 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Co B Quang | 102-30 66th Road #3a, Forest Hills, NY 11375 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Benjamin V Katayev · Vladislav | 110-35 67 Drive, Forest Hills, NY 11375 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Yulian Aminov | 112-11 69th Avenue, Forest Hill, NY 11375 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Laura Marilyn Soriano | 7714 113th St, Forest Hills, NY 11375 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 11375 | |||
| City | FOREST HILLS |
| Zip Code | 11375 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FOREST HILLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nicolaus P Feldmann · Eldor Contracting Corp | 17 Toylsome Pl, Southampton, NY 11968-5024 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Jia Li | 44 Orange St Apt 814, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on NICOLAUS MEPHIS.
| 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).