NEETA MEHTA
Controlled Substance Registration for Practitioner


Address: 35 Lilley Road, West Hartford, CT 06119-1620

NEETA MEHTA (Credential# 1359655) 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

NEETA MEHTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063065. 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 35 Lilley Road, West Hartford, CT 06119-1620. The current status is lapsed.

Basic Information

Licensee Name NEETA MEHTA
Credential ID 1359655
Credential Number CSP.0063065
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 35 Lilley Road
West Hartford
CT 06119-1620
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-06-10
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
1333596 1.055096 Physician/Surgeon 2016-03-30 2017-09-01 - 2018-08-31 INACTIVE

Office Location

Street Address 35 lilley road
City WEST HARTFORD
State CT
Zip Code 06119-1620

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Sharad Kothari 35 Lilley Road, West Hartford, CT 06119 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

Search similar business entities

City WEST HARTFORD
Zip Code 06119
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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