ROY KEDEM
Controlled Substance Registration for Practitioner


Address: 330 Stuyvesant Ave, Brooklyn, NY 11233

ROY KEDEM (Credential# 1616756) 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

ROY KEDEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069908. 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 330 Stuyvesant Ave, Brooklyn, NY 11233. The current status is active.

Basic Information

Licensee Name ROY KEDEM
Credential ID 1616756
Credential Number CSP.0069908
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 330 Stuyvesant Ave
Brooklyn
NY 11233
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-11-27
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
561833 1.044251 Physician/Surgeon 2006-04-10 2019-10-01 - 2020-09-30 ACTIVE
378373 CSP.0035586 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-08-20 2004-08-20 - 2005-02-28 INACTIVE

Office Location

Street Address 330 Stuyvesant ave
City Brooklyn
State NY
Zip Code 11233

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Fanette Aris 1478 St Marks Ave, 1st Floor, Brooklyn, NY 11233 Master's Level Social Worker 2019-07-01 ~ 2020-06-30
Simone M Cinque 409 Halsey Street, Brooklyn, NY 11233 Licensed Nurse Midwife 2017-06-01 ~ 2018-05-31
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Competitor

Search similar business entities

City Brooklyn
Zip Code 11233
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Brooklyn

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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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