DIMITRI GITELMAKER
Controlled Substance Registration for Practitioner


Address: 400 W 55th St Apt 14f, New York, NY 10019-4573

DIMITRI GITELMAKER (Credential# 1631017) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 13, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

DIMITRI GITELMAKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070240. The credential type is controlled substance registration for practitioner. The effective date is February 13, 2019. The expiration date is February 28, 2021. The business address is 400 W 55th St Apt 14f, New York, NY 10019-4573. The current status is inactive.

Basic Information

Licensee Name DIMITRI GITELMAKER
Credential ID 1631017
Credential Number CSP.0070240
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 400 W 55th St Apt 14f
New York
NY 10019-4573
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2019-02-13
Effective Date 2019-02-13
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1626840 1.062341 Physician/Surgeon 2019-02-06 2019-02-06 - 2019-08-31 INACTIVE

Office Location

Street Address 400 W 55TH ST APT 14F
City NEW YORK
State NY
Zip Code 10019-4573

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City NEW YORK
Zip Code 10019
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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