SUSAN MARIA ELRICH
Controlled Substance Registration for Practitioner


Address: 321 W 24th St Apt 18d, New York, NY 10011-1558

SUSAN MARIA ELRICH (Credential# 1792656) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 17, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

SUSAN MARIA ELRICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072577. The credential type is controlled substance registration for practitioner. The effective date is October 17, 2019. The expiration date is February 28, 2021. The business address is 321 W 24th St Apt 18d, New York, NY 10011-1558. The current status is active.

Basic Information

Licensee Name SUSAN MARIA ELRICH
Credential ID 1792656
Credential Number CSP.0072577
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 321 W 24th St Apt 18d
New York
NY 10011-1558
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-10-17
Effective Date 2019-10-17
Expiration Date 2021-02-28
Refresh Date 2019-10-18

Other licenses

ID Credential Code Credential Type Issue Term Status
1683645 1.064446 Physician/Surgeon 2019-10-17 2019-10-17 - 2020-06-30 ACTIVE

Office Location

Street Address 321 W 24TH ST APT 18D
City NEW YORK
State NY
Zip Code 10011-1558

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Competitor

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City NEW YORK
Zip Code 10011
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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