IMTIAZ L QURESHI MD`
Controlled Substance Registration for Practitioner


Address: 111 North Rengstorff Ave#114, Mountain View, CA 94043

IMTIAZ L QURESHI MD` (Credential# 337531) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

IMTIAZ L QURESHI MD` is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033428. The credential type is controlled substance registration for practitioner. The effective date is April 15, 2003. The expiration date is February 28, 2004. The business address is 111 North Rengstorff Ave#114, Mountain View, CA 94043. The current status is inactive.

Basic Information

Licensee Name IMTIAZ L QURESHI MD`
Credential ID 337531
Credential Number CSP.0033428
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 111 North Rengstorff Ave#114
Mountain View
CA 94043
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-04-15
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
556360 1.038772 Physician/Surgeon 2000-06-20 2003-03-07 - 2004-01-31 INACTIVE

Office Location

Street Address 111 NORTH RENGSTORFF AVE#114
City MOUNTAIN VIEW
State CA
Zip Code 94043

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John M Brassil · Coleco Industries 75 Devonshirs Ave #5, Mountain View, CA 94043 Professional Engineer 1990-04-06 ~ 1991-01-31
Ronald H Pursner 18 Ada Ave, Mountain View, CA 94043 Physical Therapist 1997-11-06 ~ 1998-11-30
Kim D St Germain 1555 W Middlefield, Mt View, CA 94043 Registered Nurse 1996-12-18 ~ 1998-02-28
David S Greenberg W.middlefield Rd #39, Mountain View, CA 94043 Registered Nurse 1997-12-23 ~ 1998-11-30
Lynne Pedersen 1075-232 Space Park Way, Mountain View, NY 94043 Physical Therapist 1998-05-18 ~ 1999-07-31
Sarla R Patil Md 1920 Rock St #19, Mountain View, CA 94043 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
Albert F Lapoll 905 West Middlefield Rd, Mountain View, CA 94043 Pharmacist 2001-02-01 ~ 2002-01-31
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Competitor

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City MOUNTAIN VIEW
Zip Code 94043
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MOUNTAIN VIEW

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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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