TREVOR RISHAWN MARQUIS YORK
Controlled Substance Registration for Practitioner


Address: 1971 Western Ave # 101, Albany, NY 12203-5066

TREVOR RISHAWN MARQUIS YORK (Credential# 1800843) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 23, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

TREVOR RISHAWN MARQUIS YORK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072663. The credential type is controlled substance registration for practitioner. The effective date is October 23, 2019. The expiration date is February 28, 2021. The business address is 1971 Western Ave # 101, Albany, NY 12203-5066. The current status is active.

Basic Information

Licensee Name TREVOR RISHAWN MARQUIS YORK
Credential ID 1800843
Credential Number CSP.0072663
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1971 Western Ave # 101
Albany
NY 12203-5066
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-10-23
Effective Date 2019-10-23
Expiration Date 2021-02-28
Refresh Date 2019-10-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1659696 1.064170 Physician/Surgeon 2019-09-03 2019-09-03 - 2020-09-30 ACTIVE

Office Location

Street Address 1971 WESTERN AVE # 101
City ALBANY
State NY
Zip Code 12203-5066

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Competitor

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City ALBANY
Zip Code 12203
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALBANY

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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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