KALYAN KATTA
Controlled Substance Registration for Practitioner


Address: 101 Washington Blvd Unit 1011, Stamford, CT 06902-6889

KALYAN KATTA (Credential# 1249968) 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

KALYAN KATTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058876. 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 101 Washington Blvd Unit 1011, Stamford, CT 06902-6889. The current status is active.

Basic Information

Licensee Name KALYAN KATTA
Credential ID 1249968
Credential Number CSP.0058876
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 Washington Blvd Unit 1011
Stamford
CT 06902-6889
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-10-15
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1229881 2.011228 Dentist 2014-07-08 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 101 WASHINGTON BLVD UNIT 1011
City STAMFORD
State CT
Zip Code 06902-6889

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Competitor

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City STAMFORD
Zip Code 06902
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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