PADAM C JAIN
Controlled Substance Registration for Practitioner


Address: 9 Shepard Rd, West Hartford, CT 06110

PADAM C JAIN (Credential# 156795) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

PADAM C JAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014742. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 9 Shepard Rd, West Hartford, CT 06110. The current status is inactive.

Basic Information

Licensee Name PADAM C JAIN
Credential ID 156795
Credential Number CSP.0014742
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 9 Shepard Rd
West Hartford
CT 06110
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2010-05-27

Other licenses

ID Credential Code Credential Type Issue Term Status
541777 1.016109 Physician/Surgeon 1973-09-06 2010-01-01 - 2010-12-31 INACTIVE

Office Location

Street Address 9 SHEPARD RD
City WEST HARTFORD
State CT
Zip Code 06110

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Competitor

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City WEST HARTFORD
Zip Code 06110
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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