HITENDER JAIN MD
Controlled Substance Registration for Practitioner


Address: 1490 Capito Avenue C302, Bridgeport, CT 06604

HITENDER JAIN MD (Credential# 377025) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

HITENDER JAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035478. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1490 Capito Avenue C302, Bridgeport, CT 06604. The current status is inactive.

Basic Information

Licensee Name HITENDER JAIN MD
Credential ID 377025
Credential Number CSP.0035478
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1490 Capito Avenue C302
Bridgeport
CT 06604
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-08-06
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
560484 1.042902 Physician/Surgeon 2004-10-27 2009-09-01 - 2010-08-31 INACTIVE

Office Location

Street Address 1490 CAPITO AVENUE C302
City BRIDGEPORT
State CT
Zip Code 06604

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Competitor

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City BRIDGEPORT
Zip Code 06604
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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