PRIYANKA GUPTA
Controlled Substance Registration for Practitioner


Address: 399 Main Ave Apt 821, Norwalk, CT 06851-1565

PRIYANKA GUPTA (Credential# 1216251) 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

PRIYANKA GUPTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056973. 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 399 Main Ave Apt 821, Norwalk, CT 06851-1565. The current status is inactive.

Basic Information

Licensee Name PRIYANKA GUPTA
Credential ID 1216251
Credential Number CSP.0056973
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 399 Main Ave Apt 821
Norwalk
CT 06851-1565
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-04-11
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
1212131 1.052933 Physician/Surgeon 2014-04-09 2015-10-01 - 2016-09-30 INACTIVE
1296775 1 Physician/Surgeon - PENDING

Office Location

Street Address 399 MAIN AVE APT 821
City NORWALK
State CT
Zip Code 06851-1565

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Competitor

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City NORWALK
Zip Code 06851
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK

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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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