IBRAHIM MANSOOR
Controlled Substance Registration for Practitioner


Address: 12123 Town Walk Drive, Hamden, CT 06518

IBRAHIM MANSOOR (Credential# 446136) 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

IBRAHIM MANSOOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039812. 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 12123 Town Walk Drive, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name IBRAHIM MANSOOR
Credential ID 446136
Credential Number CSP.0039812
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12123 Town Walk Drive
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-10-25
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 12123 TOWN WALK DRIVE
City HAMDEN
State CT
Zip Code 06518

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Competitor

Search similar business entities

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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