ADITI THAKKAR
Controlled Substance Registration for Practitioner


Address: 5940 Queens Blvd Apt 12c, Woodside, NY 11377-7733

ADITI THAKKAR (Credential# 1425338) 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

ADITI THAKKAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065551. 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 5940 Queens Blvd Apt 12c, Woodside, NY 11377-7733. The current status is active.

Basic Information

Licensee Name ADITI THAKKAR
Credential ID 1425338
Credential Number CSP.0065551
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5940 Queens Blvd Apt 12c
Woodside
NY 11377-7733
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-05-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
1488879 1.058274-RES Resident Physician 2017-06-28 2017-06-28 - 2020-06-30 ACTIVE

Office Location

Street Address 5940 QUEENS BLVD APT 12C
City WOODSIDE
State NY
Zip Code 11377-7733

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Competitor

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City WOODSIDE
Zip Code 11377
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODSIDE

Similar businesses

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Aditi Ahlawat 265 College Street, New Haven, CT 06510 Controlled Substance Registration for Practitioner 2015-06-17 ~ 2017-02-28
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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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