MENSUD KURJAKOVIC (Credential# 1630773) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 5, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MENSUD KURJAKOVIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070232. The credential type is controlled substance registration for practitioner. The effective date is June 5, 2019. The expiration date is February 28, 2021. The business address is 404 E 76th St, New York, NY 10021-1400. The current status is active.
| Licensee Name | MENSUD KURJAKOVIC |
| Credential ID | 1630773 |
| Credential Number | CSP.0070232 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
404 E 76th St New York NY 10021-1400 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-05 |
| Effective Date | 2019-06-05 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1630678 | 1.063598 | Physician/Surgeon | 2019-06-05 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 404 E 76TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-1400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
| Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
| Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
| Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10021 | |||
| City | NEW YORK |
| Zip Code | 10021 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy L Wisniewski | 222 Cox Rd, Portland, CT 06480-1327 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sue A Smolski | 55 Nye Rd Ste 102, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2015-05-21 ~ 2017-02-28 |
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| 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).