KUNAL GUPTA
Controlled Substance Registration for Practitioner


Address: 465 Buckland Hills Dr Apt 23121, Manchester, CT 06042-9110

KUNAL GUPTA (Credential# 1234504) 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

KUNAL GUPTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058094. 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 465 Buckland Hills Dr Apt 23121, Manchester, CT 06042-9110. The current status is inactive.

Basic Information

Licensee Name KUNAL GUPTA
Credential ID 1234504
Credential Number CSP.0058094
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 465 Buckland Hills Dr Apt 23121
Manchester
CT 06042-9110
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-07-16
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 465 BUCKLAND HILLS DR APT 23121
City MANCHESTER
State CT
Zip Code 06042-9110

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jeffrey S Menkes Md 465 Buckland Hills Dr Apt 23112, Manchester, CT 06042-9110 Physician/surgeon 2020-05-01 ~ 2021-04-30
Jacqueline A Tetreault 465 Buckland Hills Dr Apt 23211, Manchester, CT 06042-9110 Pharmacy Technician 2014-04-01 ~ 2015-03-31

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Competitor

Search similar business entities

City MANCHESTER
Zip Code 06042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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