DHARA K SHAH
Controlled Substance Registration for Practitioner


Address: 61 Royal Dr Apt 216, Piscataway, NJ 08854-3455

DHARA K SHAH (Credential# 1128477) 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

DHARA K SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053898. 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 61 Royal Dr Apt 216, Piscataway, NJ 08854-3455. The current status is inactive.

Basic Information

Licensee Name DHARA K SHAH
Credential ID 1128477
Credential Number CSP.0053898
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 Royal Dr Apt 216
Piscataway
NJ 08854-3455
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-10-23
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
1119109 2.010870 Dentist 2012-10-05 2014-01-01 - 2014-12-31 INACTIVE

Office Location

Street Address 61 ROYAL DR APT 216
City PISCATAWAY
State NJ
Zip Code 08854-3455

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Competitor

Search similar business entities

City PISCATAWAY
Zip Code 08854
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PISCATAWAY

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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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