HARIRAM GANESH
Controlled Substance Registration for Practitioner


Address: 100 W Broadway, Long Beach, NY 11561

HARIRAM GANESH (Credential# 1177665) 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

HARIRAM GANESH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055810. 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 100 W Broadway, Long Beach, NY 11561. The current status is inactive.

Basic Information

Licensee Name HARIRAM GANESH
Credential ID 1177665
Credential Number CSP.0055810
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 W Broadway
Long Beach
NY 11561
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-08-05
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1133469 1.052267 Physician/Surgeon 2013-07-25 2014-06-01 - 2015-05-31 INACTIVE

Office Location

Street Address 100 W Broadway
City Long Beach
State NY
Zip Code 11561

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Competitor

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City Long Beach
Zip Code 11561
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Long Beach

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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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