ADITI MATHUR MD
Controlled Substance Registration for Practitioner


Address: 6322 Town Walk Dr, Hamden, CT 06518-3741

ADITI MATHUR MD (Credential# 446116) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ADITI MATHUR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039793. The credential type is controlled substance registration for practitioner. The effective date is March 8, 2011. The expiration date is February 28, 2013. The business address is 6322 Town Walk Dr, Hamden, CT 06518-3741. The current status is inactive.

Basic Information

Licensee Name ADITI MATHUR MD
Credential ID 446116
Credential Number CSP.0039793
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6322 Town Walk Dr
Hamden
CT 06518-3741
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-10-25
Effective Date 2011-03-08
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565162 1.047580 Physician/Surgeon 2009-04-15 2010-02-01 - 2011-01-31 INACTIVE

Office Location

Street Address 6322 TOWN WALK DR
City HAMDEN
State CT
Zip Code 06518-3741

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Competitor

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City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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