MELCHIAS NJINGULULA MUKENDI MD (Credential# 213406) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.
MELCHIAS NJINGULULA MUKENDI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028275. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 61-15 97th Street, Rego Park, NY 11374. The current status is inactive.
| Licensee Name | MELCHIAS NJINGULULA MUKENDI MD |
| Credential ID | 213406 |
| Credential Number | CSP.0028275 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
61-15 97th Street Rego Park NY 11374 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2001-03-01 |
| Expiration Date | 2002-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547102 | 1.028327 | Physician/Surgeon | 1987-07-15 | 2000-07-07 - 2001-08-31 | INACTIVE |
| Street Address | 61-15 97TH STREET |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keyur Patel | 9745 Queens Blvd, Rego Park, NY 11374 | Physician/surgeon | ~ |
| Jing Li | 9940 63rd Rd Apt 7g, Rego Park, NY 11374 | Nail Technician | ~ |
| Eugene Khananov | 9931 64th B-17, Rego Park, NY 11374 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mi Ja Kim | 6541 Booth St Apt 1a, Rego Park, NY 11374 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Helen Tuzio | 85-18 65th Dr, Rego Park, NY 11374 | Veterinarian | 2020-04-19 ~ 2021-03-31 |
| Carlo Lacanilao Maniago | 6406 Fleet St. Apt 6a Rego Park, New York, NY 11374 | Registered Nurse | ~ |
| Hui Fang Liu | 6150 Wetherole Street First Floor, Rego Park, NY 11374 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Michael Kandchorov | 65-09 99st, Rego Park, NY 11374 | Pharmacist | 2020-03-13 ~ 2022-01-31 |
| Fiana I Yaroslavskaya | 99-52 66 Road #9 Z, Rego Park, NY 11374 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Eduard R Ilyasov | 97-40 62 Drive, Apt 7d, Rego Park, NY 11374 | Pharmacist | 2020-02-18 ~ 2022-01-31 |
| Find all Licenses in zip 11374 | |||
| City | REGO PARK |
| Zip Code | 11374 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + REGO PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ron Gaeta Dvm | Po Box 599, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wei Qi | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).