NAGWA A. KHADR
Controlled Substance Registration for Practitioner


Address: 17 Walnut Ln, Avon, CT 06001-4539

NAGWA A. KHADR (Credential# 1054106) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

NAGWA A. KHADR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052056. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 17 Walnut Ln, Avon, CT 06001-4539. The current status is inactive.

Basic Information

Licensee Name NAGWA A. KHADR
Credential ID 1054106
Credential Number CSP.0052056
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 17 Walnut Ln
Avon
CT 06001-4539
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-03-01
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1045283 1.050618 Physician/Surgeon 2012-02-14 2014-02-01 - 2015-01-31 INACTIVE

Office Location

Street Address 17 WALNUT LN
City AVON
State CT
Zip Code 06001-4539

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Ann W Friedman · Smith Erporters Inc 18 Walnut Ln, Avon, CT 06001-4539 Shorthand Court Reporter 2017-01-01 ~ 2017-12-31
Frank L Dest Jr 1 Walnut Ln, Avon, CT 06001-4539 Wholesaler Salesman 2015-02-02 ~ 2017-01-31
Richard Reinhart · Richard Reinhart Architect 16 Walnut Ln, Avon, CT 06001-4539 Architect 2014-10-16 ~ 2015-07-31
Robert L Elwood 5 Walnut Ln, Avon, CT 06001-4539 Community Association Manager 2015-01-20 ~ 2016-01-31
Halina B Kaflinski 10 Walnut Ln, Avon, CT 06001-4539 Real Estate Salesperson 2011-06-01 ~ 2012-05-31

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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