GENE GANZ
Controlled Substance Registration for Practitioner


Address: 60 Hickory Grove Dr W, Larchmont, NY 10538-1708

GENE GANZ (Credential# 150636) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

GENE GANZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011283. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 60 Hickory Grove Dr W, Larchmont, NY 10538-1708. The current status is inactive.

Basic Information

Licensee Name GENE GANZ
Credential ID 150636
Credential Number CSP.0011283
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 Hickory Grove Dr W
Larchmont
NY 10538-1708
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
544948 1.024294 Physician/Surgeon 1983-02-01 2011-01-01 - 2011-12-31 INACTIVE

Office Location

Street Address 60 HICKORY GROVE DR W
City LARCHMONT
State NY
Zip Code 10538-1708

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Competitor

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City LARCHMONT
Zip Code 10538
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LARCHMONT

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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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