NNAEMEKA E EGWUATU MD
Controlled Substance Registration for Practitioner


Address: 201 West Fulton #816, Grand Rapids, MI 49503

NNAEMEKA E EGWUATU MD (Credential# 392074) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

NNAEMEKA E EGWUATU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036868. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 201 West Fulton #816, Grand Rapids, MI 49503. The current status is inactive.

Basic Information

Licensee Name NNAEMEKA E EGWUATU MD
Credential ID 392074
Credential Number CSP.0036868
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 201 West Fulton #816
Grand Rapids
MI 49503
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-12-15
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 201 WEST FULTON #816
City GRAND RAPIDS
State MI
Zip Code 49503

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Competitor

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City GRAND RAPIDS
Zip Code 49503
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GRAND RAPIDS

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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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