MARIYA YAKUBOV
Controlled Substance Registration for Practitioner


Address: 715 W 172nd St Apt 5, New York, NY 10032-1722

MARIYA YAKUBOV (Credential# 2003159) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 9, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARIYA YAKUBOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073086. The credential type is controlled substance registration for practitioner. The effective date is March 9, 2020. The expiration date is February 28, 2021. The business address is 715 W 172nd St Apt 5, New York, NY 10032-1722. The current status is active.

Basic Information

Licensee Name MARIYA YAKUBOV
Credential ID 2003159
Credential Number CSP.0073086
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 715 W 172nd St Apt 5
New York
NY 10032-1722
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-03-09
Effective Date 2020-03-09
Expiration Date 2021-02-28
Refresh Date 2020-03-10

Other licenses

ID Credential Code Credential Type Issue Term Status
2001853 12.008776 Advanced Practice Registered Nurse 2020-03-09 2020-03-09 - 2020-12-31 ACTIVE
2001854 10.168885 Registered Nurse 2020-02-27 2020-02-27 - 2020-12-31 ACTIVE

Office Location

Street Address 715 W 172ND ST APT 5
City NEW YORK
State NY
Zip Code 10032-1722

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Competitor

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City NEW YORK
Zip Code 10032
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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