STACEY LYNNE CANTOR-ADKINS
Controlled Substance Registration for Practitioner


Address: 430 E 86th St Apt 8a, New York, NY 10028-6436

STACEY LYNNE CANTOR-ADKINS (Credential# 1526921) 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

STACEY LYNNE CANTOR-ADKINS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068839. 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 430 E 86th St Apt 8a, New York, NY 10028-6436. The current status is active.

Basic Information

Licensee Name STACEY LYNNE CANTOR-ADKINS
Credential ID 1526921
Credential Number CSP.0068839
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 430 E 86th St Apt 8a
New York
NY 10028-6436
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-06-27
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1498490 1.061504 Physician/Surgeon 2018-06-27 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 430 E 86TH ST APT 8A
City NEW YORK
State NY
Zip Code 10028-6436

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Competitor

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City NEW YORK
Zip Code 10028
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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