JAYEN H PATEL MD
Controlled Substance Registration for Practitioner


Address: 222 E 19th St, New York, NY 10003

JAYEN H PATEL MD (Credential# 445704) 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

JAYEN H PATEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039642. 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 222 E 19th St, New York, NY 10003. The current status is inactive.

Basic Information

Licensee Name JAYEN H PATEL MD
Credential ID 445704
Credential Number CSP.0039642
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 222 E 19th St
New York
NY 10003
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-08-04
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
562070 1.044488 Physician/Surgeon 2006-06-20 2006-11-30 - 2007-12-31 INACTIVE

Office Location

Street Address 222 E 19TH ST
City NEW YORK
State NY
Zip Code 10003

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Competitor

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City NEW YORK
Zip Code 10003
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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