SHAKER ITANI
Controlled Substance Registration for Practitioner


Address: 240 West 64th Street, New York, NY 10023

SHAKER ITANI (Credential# 289797) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

SHAKER ITANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031526. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 240 West 64th Street, New York, NY 10023. The current status is inactive.

Basic Information

Licensee Name SHAKER ITANI
Credential ID 289797
Credential Number CSP.0031526
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 240 West 64th Street
New York
NY 10023
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-01
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557281 1.039697 Physician/Surgeon 2001-07-05 2001-07-05 - 2002-03-31 INACTIVE

Office Location

Street Address 240 WEST 64TH STREET
City NEW YORK
State NY
Zip Code 10023

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City NEW YORK
Zip Code 10023
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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