UMBREEN IFTEKHAR
Controlled Substance Registration for Practitioner


Address: 65 Meeker Rd, Southington, CT 06489-2234

UMBREEN IFTEKHAR (Credential# 1399090) 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

UMBREEN IFTEKHAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064633. 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 65 Meeker Rd, Southington, CT 06489-2234. The current status is active.

Basic Information

Licensee Name UMBREEN IFTEKHAR
Credential ID 1399090
Credential Number CSP.0064633
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 65 Meeker Rd
Southington
CT 06489-2234
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-01-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-26

Other licenses

ID Credential Code Credential Type Issue Term Status
1382710 23.003743 Physician Assistant 2016-11-29 2019-10-01 - 2020-09-30 ACTIVE
536213 PTN.0011728 PHARMACY TECHNICIAN 2009-06-23 2009-06-23 - 2010-03-31 INACTIVE

Office Location

Street Address 65 MEEKER RD
City SOUTHINGTON
State CT
Zip Code 06489-2234

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Irum Iftekhar 65 Meeker Rd, Southington, CT 06489-2234 Pharmacy Technician 2017-04-01 ~ 2018-03-31

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Nicholas C Ingel 515 West Street, Southington, CT 06489 Heating, Piping & Cooling Limited Journeyperson 2020-06-23 ~ 2021-08-31
Tyrone J Correa 84 Minthal Drive, Southington, CT 06489 Real Estate Salesperson 2020-06-19 ~ 2021-05-31
Marilyn F Coppola 114 Spring Hill Rd, Southington, CT 06489 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City SOUTHINGTON
Zip Code 06489
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON

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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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