ISHANI RAY-DATTA MD
Controlled Substance Registration for Practitioner


Address: 46 Delafield Island Rd, Darien, CT 06820

ISHANI RAY-DATTA MD (Credential# 162980) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

ISHANI RAY-DATTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022894. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 46 Delafield Island Rd, Darien, CT 06820. The current status is lapsed.

Basic Information

Licensee Name ISHANI RAY-DATTA MD
Credential ID 162980
Credential Number CSP.0022894
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 46 Delafield Island Rd
Darien
CT 06820
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
551066 1.033467 Physician/Surgeon 1993-12-30 2017-12-01 - 2018-11-30 INACTIVE

Office Location

Street Address 46 DELAFIELD ISLAND RD
City DARIEN
State CT
Zip Code 06820

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Competitor

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City DARIEN
Zip Code 06820
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN

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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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