KEREEM H HUSAIN
Controlled Substance Registration for Practitioner


Address: 2594 La Ventana Cir, Corona, CA 92879-5824

KEREEM H HUSAIN (Credential# 1171123) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

KEREEM H HUSAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055128. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 2594 La Ventana Cir, Corona, CA 92879-5824. The current status is inactive.

Basic Information

Licensee Name KEREEM H HUSAIN
Credential ID 1171123
Credential Number CSP.0055128
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2594 La Ventana Cir
Corona
CA 92879-5824
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-07-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 2594 LA VENTANA CIR
City CORONA
State CA
Zip Code 92879-5824

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City CORONA
Zip Code 92879
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CORONA

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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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