KARTHIK R GUJJA
Controlled Substance Registration for Practitioner


Address: 94 Amity St Apt 7f, Brooklyn, NY 11201-6041

KARTHIK R GUJJA (Credential# 1078880) 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

KARTHIK R GUJJA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052748. 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 94 Amity St Apt 7f, Brooklyn, NY 11201-6041. The current status is inactive.

Basic Information

Licensee Name KARTHIK R GUJJA
Credential ID 1078880
Credential Number CSP.0052748
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 94 Amity St Apt 7f
Brooklyn
NY 11201-6041
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-06-27
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
1058043 1.051061 Physician/Surgeon 2012-06-18 2014-02-01 - 2015-01-31 INACTIVE

Office Location

Street Address 94 AMITY ST APT 7F
City BROOKLYN
State NY
Zip Code 11201-6041

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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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