ABU BAKER MAHMOOD
Controlled Substance Registration for Practitioner


Address: 151 Sumner Ave Apt 4, Springfield, MA 01108-2334

ABU BAKER MAHMOOD (Credential# 1316313) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 14, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ABU BAKER MAHMOOD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061618. The credential type is controlled substance registration for practitioner. The effective date is October 14, 2015. The expiration date is February 28, 2017. The business address is 151 Sumner Ave Apt 4, Springfield, MA 01108-2334. The current status is inactive.

Basic Information

Licensee Name ABU BAKER MAHMOOD
Credential ID 1316313
Credential Number CSP.0061618
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 151 Sumner Ave Apt 4
Springfield
MA 01108-2334
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-10-14
Effective Date 2015-10-14
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1309686 2.011506 Dentist 2015-09-16 2015-09-16 - 2016-08-31 INACTIVE

Office Location

Street Address 151 SUMNER AVE APT 4
City SPRINGFIELD
State MA
Zip Code 01108-2334

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Competitor

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City SPRINGFIELD
Zip Code 01108
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD

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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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