ESSAM-ELDIN M ELLABBAD MD
Controlled Substance Registration for Practitioner


Address: 14 Dorset Court, Princeton, NJ 08540

ESSAM-ELDIN M ELLABBAD MD (Credential# 326497) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

ESSAM-ELDIN M ELLABBAD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033039. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 14 Dorset Court, Princeton, NJ 08540. The current status is inactive.

Basic Information

Licensee Name ESSAM-ELDIN M ELLABBAD MD
Credential ID 326497
Credential Number CSP.0033039
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Dorset Court
Princeton
NJ 08540
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
558945 1.041362 Physician/Surgeon 2003-04-16 2004-02-12 - 2005-03-31 INACTIVE

Office Location

Street Address 14 DORSET COURT
City PRINCETON
State NJ
Zip Code 08540

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Competitor

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City PRINCETON
Zip Code 08540
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PRINCETON

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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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