MANAN U SHAH
Controlled Substance Registration for Practitioner


Address: 19 Library Ln S, Sturbridge, MA 01566-1093

MANAN U SHAH (Credential# 1175909) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

MANAN U SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055673. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 19 Library Ln S, Sturbridge, MA 01566-1093. The current status is lapsed.

Basic Information

Licensee Name MANAN U SHAH
Credential ID 1175909
Credential Number CSP.0055673
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 19 Library Ln S
Sturbridge
MA 01566-1093
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-07-25
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1488821 1.058216-RES Resident Physician 2013-07-01 2013-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 19 LIBRARY LN S
City STURBRIDGE
State MA
Zip Code 01566-1093

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Licensee Name Office Address Credential Effective / Expiration
Thomas Champlin 23 Library Ln S, Sturbridge, MA 01566-1093 Home Improvement Salesperson 2019-12-01 ~ 2020-11-30

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Christine L Carter Coldwell Banker Residential Brokerage, Sturbridge, MA 01566 Real Estate Broker 2019-04-01 ~ 2020-03-31
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Competitor

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City STURBRIDGE
Zip Code 01566
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STURBRIDGE

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Amisha A Shah 282 Washington St, Hartford, CT 06106-3322 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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Shailaja K Shah Md 11 Kershaw Ct, Bridgewater, NJ 08807 Controlled Substance Registration for Practitioner 2002-03-01 ~ 2003-02-28
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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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