ALI R NIAKOSARI MD
Controlled Substance Registration for Practitioner


Address: 311 Lowell St Apt 1318, Andover, MA 01810-4565

ALI R NIAKOSARI MD (Credential# 355841) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ALI R NIAKOSARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034254. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 311 Lowell St Apt 1318, Andover, MA 01810-4565. The current status is inactive.

Basic Information

Licensee Name ALI R NIAKOSARI MD
Credential ID 355841
Credential Number CSP.0034254
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 311 Lowell St Apt 1318
Andover
MA 01810-4565
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-22
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
558807 1.041224 Physician/Surgeon 2003-03-11 2012-10-01 - 2013-09-30 INACTIVE

Office Location

Street Address 311 LOWELL ST APT 1318
City ANDOVER
State MA
Zip Code 01810-4565

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Competitor

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City ANDOVER
Zip Code 01810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANDOVER

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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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