ANDREA DESAI
Controlled Substance Registration for Practitioner


Address: 101 S Ellwood Ave Apt 616, Baltimore, MD 21224-2281

ANDREA DESAI (Credential# 1269856) 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

ANDREA DESAI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059627. 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 101 S Ellwood Ave Apt 616, Baltimore, MD 21224-2281. The current status is lapsed.

Basic Information

Licensee Name ANDREA DESAI
Credential ID 1269856
Credential Number CSP.0059627
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 S Ellwood Ave Apt 616
Baltimore
MD 21224-2281
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-03-03
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
1260527 1.053830 Physician/Surgeon 2015-02-17 2017-12-01 - 2018-11-30 INACTIVE

Office Location

Street Address 101 S ELLWOOD AVE APT 616
City BALTIMORE
State MD
Zip Code 21224-2281

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Competitor

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City BALTIMORE
Zip Code 21224
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BALTIMORE

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Prianka Desai 20 York St Tmp 209, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2011-07-07 ~ 2013-02-28
Utsav D Desai 368 Franklin Ave, Hartford, CT 06114-2506 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Amish H Desai 20 York St Tmp 209, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Ishita Desai 56 Franklin St, Waterbury, CT 06706-1253 Controlled Substance Registration for Practitioner 2015-04-20 ~ 2017-02-28
Ami V Desai Md 26 Rosemary Lane, Berlin, CT 06037 Controlled Substance Registration for Practitioner 2009-03-12 ~ 2011-02-28
Ninad Desai 80 Seymour St, Hartford, CT 06102-8000 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Deep M Desai 925 Oronoke Rd, Waterbury, CT 06708 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Kapil R. Desai Md 49 Lake Ave, Greenwich, CT 06830-4501 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Tasha Desai 282 Washington St, Hartford, CT 06106 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Anushri V Desai 111 Park St Apt 7p, New Haven, CT 06511-5454 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28

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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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