RYAN W. T. BLACK (Credential# 1448520) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 9, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
RYAN W. T. BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066712. The credential type is controlled substance registration for practitioner. The effective date is September 9, 2017. The expiration date is February 28, 2019. The business address is 400 Nelson Ave, Cliffside Park, NJ 07010-1817. The current status is lapsed.
| Licensee Name | RYAN W. T. BLACK |
| Credential ID | 1448520 |
| Credential Number | CSP.0066712 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
400 Nelson Ave Cliffside Park NJ 07010-1817 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2017-09-09 |
| Effective Date | 2017-09-09 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1444035 | 23.003947 | Physician Assistant | 2017-09-08 | 2018-02-01 - 2019-01-31 | INACTIVE |
| Street Address | 400 NELSON AVE |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010-1817 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles C Park | 221 Reynolds Lane Apt 2a, Cliffside Park, NJ 07010 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Susan Fishbein | 663 Palisade Avenue, Cliffside Park, NJ 07010 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Oday S.h Awad | 20 Manhattan Place, Cliffside Park, NJ 07010 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kenneth K. Lee | 770 Anderson Ave 17q, Cliffside Park, NJ 07010 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Kwasi Siaw Anyinam | 305 Palisade Avenue, Cliffside Park, NJ 07010 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Natalia Bartkova | 1 Towne Centre, Cliffside Park, NJ 07010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bertolotti Inc | 738 Anderson Ave, Cliffside Park, NJ 07010 | Frozen Dessert Wholesaler | 1998-12-21 ~ 1998-12-31 |
| Avp Construction Group LLC · Avp Construction | 5 Day Ave, Cliffside Park, NJ 07010 | Home Improvement Contractor | 2006-10-17 ~ 2007-11-30 |
| Josef Salon Contracting | 171 Oakwood Ave, Cliffside Park, NJ 07010 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Alexander Ostrovsky | 300 Gorge Rd E3, Cliffside Park, NJ 07010 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Find all Licenses in zip 07010 | |||
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CLIFFSIDE PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Harless | 100 Black Rock Lighthouse Road, Black Rock, NS B1X 2A3 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Ryan S Lee | 31 Bay Dr, Canton, MA 02021-4181 | Controlled Substance Registration for Practitioner | 2020-01-21 ~ 2021-02-28 |
| Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amy Haydon-ryan Pa | Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eleanore K Black | 38 Volunteer Ln Apt 4, Greenwich, CT 06830-5414 | Controlled Substance Registration for Practitioner | 2020-06-04 ~ 2021-02-28 |
| Jonathan D Black | 120 Knollwood Dr, New Haven, CT 06515-2459 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eric W Black | 365 Mather St Apt 197, Hamden, CT 06514-3151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan M Chadha | 67 Gannett Ct, Wayne, NJ 07470-8467 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ryan Fahy | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-06-17 ~ 2021-02-28 |
| Ryan Smith | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).