GRACIOUS JOHN
Controlled Substance Registration for Practitioner


Address: 5603 Piper Glen Ln, Missouri City, TX 77459-5098

GRACIOUS JOHN (Credential# 1670106) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 20, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

GRACIOUS JOHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071631. The credential type is controlled substance registration for practitioner. The effective date is June 20, 2019. The expiration date is February 28, 2021. The business address is 5603 Piper Glen Ln, Missouri City, TX 77459-5098. The current status is active.

Basic Information

Licensee Name GRACIOUS JOHN
Credential ID 1670106
Credential Number CSP.0071631
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5603 Piper Glen Ln
Missouri City
TX 77459-5098
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-20
Effective Date 2019-06-20
Expiration Date 2021-02-28
Refresh Date 2019-06-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1650272 23.004458 Physician Assistant 2019-06-03 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 5603 PIPER GLEN LN
City MISSOURI CITY
State TX
Zip Code 77459-5098

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Dana Waguespack Pinkstaff 9414 Crosby Way, Missouri City, TX 77459 Registered Nurse 2020-06-01 ~ 2021-05-31
Cancer Survivors' Fund 2303 Masters Lane, Missouri City, TX 77459 Public Charity 2019-03-01 ~ 2020-02-28
Fortbend Rx Pharmacy 1100 Fm 1092 Ste D, Missouri City, TX 77459 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Demetria Gordon Moses 3826 Venosa Ct, Missouri City, TX 77459 Registered Nurse 2020-01-01 ~ 2020-12-31
Judith B Canetti 3222 Oak Cliff Ln, Missouri City, TX 77459 Registered Nurse 2019-12-01 ~ 2020-11-30
Jason B Grisel 8902 Helena Blvd, Missouri City, TX 77459 Professional Engineer 2017-10-17 ~ 2019-01-31
Frances Uyanwune 3723 Siderno Drive, Missouri City, TX 77459 Registered Nurse 2018-06-01 ~ 2019-05-31
Chadi Abdallah 3 Cinque Terre Dr, Missouri City, TX 77459 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Oluwaseun Sarah Adesina 43 Castello Lane, Missouri City, TX 77459 Registered Nurse 2016-12-09 ~ 2017-06-30
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Competitor

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City MISSOURI CITY
Zip Code 77459
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MISSOURI CITY

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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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