AHSAN U SHAH
Controlled Substance Registration for Practitioner


Address: 763 Saw Mill Rd, West Haven, CT 06516

AHSAN U SHAH (Credential# 1232370) 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

AHSAN U SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057808. 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 763 Saw Mill Rd, West Haven, CT 06516. The current status is lapsed.

Basic Information

Licensee Name AHSAN U SHAH
Credential ID 1232370
Credential Number CSP.0057808
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 763 Saw Mill Rd
West Haven
CT 06516
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-07-21
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 763 SAW MILL RD
City WEST HAVEN
State CT
Zip Code 06516

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Competitor

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City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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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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