KELLY A KYANKO MD
Controlled Substance Registration for Practitioner


Address: 75 Henry St Apt 28c, Brooklyn, NY 11201-1963

KELLY A KYANKO MD (Credential# 899979) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

KELLY A KYANKO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046861. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 75 Henry St Apt 28c, Brooklyn, NY 11201-1963. The current status is inactive.

Basic Information

Licensee Name KELLY A KYANKO MD
Credential ID 899979
Credential Number CSP.0046861
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75 Henry St Apt 28c
Brooklyn
NY 11201-1963
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-10-20
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565055 1.047473 Physician/Surgeon 2009-03-24 2010-08-01 - 2011-07-31 INACTIVE

Office Location

Street Address 75 HENRY ST APT 28C
City BROOKLYN
State NY
Zip Code 11201-1963

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Competitor

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City BROOKLYN
Zip Code 11201
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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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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