NEIL S NICHOLS MD
Controlled Substance Registration for Practitioner


Address: 167 Purchase St, Rye, NY 10580-2171

NEIL S NICHOLS MD (Credential# 520082) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

NEIL S NICHOLS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044892. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 167 Purchase St, Rye, NY 10580-2171. The current status is inactive.

Basic Information

Licensee Name NEIL S NICHOLS MD
Credential ID 520082
Credential Number CSP.0044892
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 167 Purchase St
Rye
NY 10580-2171
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-12-02
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
564654 1.047072 Physician/Surgeon 2008-10-07 2008-10-07 - 2009-03-31 INACTIVE

Office Location

Street Address 167 PURCHASE ST
City RYE
State NY
Zip Code 10580-2171

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Betty Liao 167 Purchase St, Rye, NY 10580-2171 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Robert Sussman 167 Purchase St, Rye, NY 10580 Physician/surgeon 2001-04-16 ~ 2002-05-31

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Competitor

Search similar business entities

City RYE
Zip Code 10580
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RYE

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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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