MAKSIM NDOJ
Controlled Substance Registration for Practitioner


Address: 601 Mclean Ave Apt 2d, Yonkers, NY 10705-4653

MAKSIM NDOJ (Credential# 1511485) 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

MAKSIM NDOJ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067960. 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 601 Mclean Ave Apt 2d, Yonkers, NY 10705-4653. The current status is active.

Basic Information

Licensee Name MAKSIM NDOJ
Credential ID 1511485
Credential Number CSP.0067960
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 601 Mclean Ave Apt 2d
Yonkers
NY 10705-4653
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-05-07
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1497420 2.012167 Dentist 2018-05-04 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 601 MCLEAN AVE APT 2D
City YONKERS
State NY
Zip Code 10705-4653

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Jennifer V Stern 54 Ridge Road, Yonkers, NY 10705 Physician Assistant 2020-05-01 ~ 2021-04-30
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Competitor

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City YONKERS
Zip Code 10705
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + YONKERS

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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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