GAURAV VIJ MD
Controlled Substance Registration for Practitioner


Address: 152 Temple St Apt 103, New Haven, CT 06510-2607

GAURAV VIJ MD (Credential# 412989) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 31, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

GAURAV VIJ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037946. The credential type is controlled substance registration for practitioner. The effective date is July 31, 2008. The expiration date is February 28, 2009. The business address is 152 Temple St Apt 103, New Haven, CT 06510-2607. The current status is inactive.

Basic Information

Licensee Name GAURAV VIJ MD
Credential ID 412989
Credential Number CSP.0037946
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 152 Temple St Apt 103
New Haven
CT 06510-2607
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-08-11
Effective Date 2008-07-31
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
563730 1.046148 Physician/Surgeon 2008-01-18 2008-01-18 - 2008-07-31 INACTIVE

Office Location

Street Address 152 TEMPLE ST APT 103
City NEW HAVEN
State CT
Zip Code 06510-2607

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pablo C Loarte Campos 152 Temple St Apt 108, New Haven, CT 06510-2607 Physician/surgeon 2018-05-01 ~ 2019-04-30
Marisa A Brown 152 Temple St Apt 106, New Haven, CT 06510-2607 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Behnood Bikdeli 152 Temple St Apt 316, New Haven, CT 06510-2607 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Min Chul Shin 152 Temple St Apt 108, New Haven, CT 06510-2607 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28

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Competitor

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City NEW HAVEN
Zip Code 06510
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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