FATIMA MAWJI
Controlled Substance Registration for Practitioner


Address: 1 Broad St Unit 28f, Stamford, CT 06901-2339

FATIMA MAWJI (Credential# 1505425) 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

FATIMA MAWJI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067790. 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 1 Broad St Unit 28f, Stamford, CT 06901-2339. The current status is active.

Basic Information

Licensee Name FATIMA MAWJI
Credential ID 1505425
Credential Number CSP.0067790
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Broad St Unit 28f
Stamford
CT 06901-2339
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-04-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1472388 1.060225 Physician/Surgeon 2018-04-10 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 1 BROAD ST UNIT 28F
City STAMFORD
State CT
Zip Code 06901-2339

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Competitor

Search similar business entities

City STAMFORD
Zip Code 06901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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