ATUL N KANTESARIA MD
SOUTH EASTER MENTAL HEALTH AUTH.


Address: P.o. Box 508, Norwich, CT 06360

ATUL N KANTESARIA MD (Credential# 159926) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 15, 1994. The license expiration date date is December 1, 1996. The license status is INACTIVE.

Business Overview

ATUL N KANTESARIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019340. The credential type is controlled substance registration for practitioner. The effective date is November 15, 1994. The expiration date is December 1, 1996. The business address is P.o. Box 508, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name ATUL N KANTESARIA MD
Business Name SOUTH EASTER MENTAL HEALTH AUTH.
Credential ID 159926
Credential Number CSP.0019340
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address P.o. Box 508
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-11-15
Expiration Date 1996-12-01
Refresh Date 2005-12-15

Office Location

Street Address P.O. BOX 508
City NORWICH
State CT
Zip Code 06360

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
David R Williams P.o. Box 508, Norwich, CT 06360 Emergency Medical Technician ~ 1997-07-01
Zahid F Awan Md · Norwich Hospital P.o. Box 508, Norwich, CT 06360 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28

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Competitor

Search similar business entities

City NORWICH
Zip Code 06360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH

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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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