AJAY MANHAPRA
Controlled Substance Registration for Practitioner


Address: 9652 27th Bay St, Norfolk, CT 23518

AJAY MANHAPRA (Credential# 1228378) 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

AJAY MANHAPRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057333. 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 9652 27th Bay St, Norfolk, CT 23518. The current status is lapsed.

Basic Information

Licensee Name AJAY MANHAPRA
Credential ID 1228378
Credential Number CSP.0057333
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 9652 27th Bay St
Norfolk
CT 23518
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-06-18
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
1213097 1.053131 Physician/Surgeon 2014-06-10 2017-02-01 - 2018-01-31 INACTIVE

Office Location

Street Address 9652 27TH BAY ST
City NORFOLK
State CT
Zip Code 23518

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Peter Tacelli 8180 Shore Dr, Norfolk, VA 23518 Professional Engineer 1996-02-01 ~ 1997-01-31
Rebecca R Peele 9582 Bay Point Dr, Norfolk, VA 23518 Licensed Practical Nurse 2012-10-01 ~ 2013-09-30
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Bruce A Seamans 2120 Tallyho Terrace, Norfolk, VA 23518 Professional Engineer 2007-02-09 ~ 2008-01-31
Anne T Hoskin 9508 8th Bay St, Norfolk, VA 23518-1206 Speech and Language Pathologist 2015-04-01 ~ 2016-03-31
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Competitor

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City NORFOLK
Zip Code 23518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORFOLK

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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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