BIREN V CHOKSHI MD
Controlled Substance Registration for Practitioner


Address: 35 Kennedy Drive, Putnam, CT 06260

BIREN V CHOKSHI MD (Credential# 346945) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

BIREN V CHOKSHI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033821. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 35 Kennedy Drive, Putnam, CT 06260. The current status is active.

Basic Information

Licensee Name BIREN V CHOKSHI MD
Credential ID 346945
Credential Number CSP.0033821
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 35 Kennedy Drive
Putnam
CT 06260
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-07-25
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
559048 1.041465 Physician/Surgeon 2003-05-14 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 35 KENNEDY DRIVE
City PUTNAM
State CT
Zip Code 06260

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Scott J Grimmett · Price Chopper 251 Kennedy Drive Ste A, Putnam, CT 06260 Grocery Beer 2020-08-08 ~ 2021-08-07
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June Elizabeth Foley 4 Libertyhighway, Putnam, CT 06260 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City PUTNAM
Zip Code 06260
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNAM

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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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