COLLEEN P KHATIWALA
Controlled Substance Registration for Practitioner


Address: 511 Main St Apt 27, West Haven, CT 06516-4254

COLLEEN P KHATIWALA (Credential# 414478) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

COLLEEN P KHATIWALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038143. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 511 Main St Apt 27, West Haven, CT 06516-4254. The current status is inactive.

Basic Information

Licensee Name COLLEEN P KHATIWALA
Credential ID 414478
Credential Number CSP.0038143
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 511 Main St Apt 27
West Haven
CT 06516-4254
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-27
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Office Location

Street Address 511 MAIN ST APT 27
City WEST HAVEN
State CT
Zip Code 06516-4254

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Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
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Competitor

Search similar business entities

City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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Colleen M Cattaneo 31 Jolicoeur Ave, Spencer, MA 01562 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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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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