KAREN J NISHIDA
Controlled Substance Registration for Practitioner


Address: 1290 Summer St Ste 5200, Stamford, CT 06905-5360

KAREN J NISHIDA (Credential# 1203967) 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 ACTIVE.

Business Overview

KAREN J NISHIDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056642. 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 1290 Summer St Ste 5200, Stamford, CT 06905-5360. The current status is active.

Basic Information

Licensee Name KAREN J NISHIDA
Credential ID 1203967
Credential Number CSP.0056642
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1290 Summer St Ste 5200
Stamford
CT 06905-5360
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-01-29
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1178460 1.052404 Physician/Surgeon 2013-09-18 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 1290 SUMMER ST STE 5200
City STAMFORD
State CT
Zip Code 06905-5360

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Ronnie G Fine 1200 High Ridge Road, Stamford, CT 06905-5360 Physician/surgeon 2020-07-01 ~ 2021-06-30
Santi J Neuberger 1290 Summer St Ste 2400, Stamford, CT 06905-5360 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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