ABDUL Q BHUTTA
Controlled Substance Registration for Practitioner


Address: 273 Greene Street, New Haven, CT 06511-6943

ABDUL Q BHUTTA (Credential# 1161329) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

ABDUL Q BHUTTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054614. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 273 Greene Street, New Haven, CT 06511-6943. The current status is inactive.

Basic Information

Licensee Name ABDUL Q BHUTTA
Credential ID 1161329
Credential Number CSP.0054614
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 273 Greene Street
New Haven
CT 06511-6943
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2013-05-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1149418 1.051786 Physician/Surgeon 2013-04-15 2018-09-01 - 2019-08-31 INACTIVE

Office Location

Street Address 273 GREENE STREET
City NEW HAVEN
State CT
Zip Code 06511-6943

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Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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