ELISE W SNYDER MD
Controlled Substance Registration for Practitioner


Address: 455 Fdr Drive 1704b, New York, NY 10002

ELISE W SNYDER MD (Credential# 149538) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ELISE W SNYDER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004050. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 455 Fdr Drive 1704b, New York, NY 10002. The current status is inactive.

Basic Information

Licensee Name ELISE W SNYDER MD
Credential ID 149538
Credential Number CSP.0004050
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 455 Fdr Drive 1704b
New York
NY 10002
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
541481 1.015433 Physician/Surgeon 1972-02-23 2005-04-04 - 2006-05-31 INACTIVE

Office Location

Street Address 455 FDR DRIVE 1704B
City NEW YORK
State NY
Zip Code 10002

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City NEW YORK
Zip Code 10002
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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