ANDREAS H GOMOLL
Controlled Substance Registration for Practitioner


Address: 433 E 74th St, New York, NY 10021-3901

ANDREAS H GOMOLL (Credential# 1467300) 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.

Business Overview

ANDREAS H GOMOLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067230. 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 433 E 74th St, New York, NY 10021-3901. The current status is active.

Basic Information

Licensee Name ANDREAS H GOMOLL
Credential ID 1467300
Credential Number CSP.0067230
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 433 E 74th St
New York
NY 10021-3901
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-12-18
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1456938 1.057213 Physician/Surgeon 2017-11-30 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 433 E 74TH ST
City NEW YORK
State NY
Zip Code 10021-3901

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Competitor

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City NEW YORK
Zip Code 10021
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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