ABIE N ALIAS
Controlled Substance Registration for Practitioner


Address: 136 Loomis Dr Apt B2, West Hartford, CT 06107-2017

ABIE N ALIAS (Credential# 446328) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ABIE N ALIAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039924. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 136 Loomis Dr Apt B2, West Hartford, CT 06107-2017. The current status is inactive.

Basic Information

Licensee Name ABIE N ALIAS
Credential ID 446328
Credential Number CSP.0039924
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 136 Loomis Dr Apt B2
West Hartford
CT 06107-2017
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-09-07
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 136 LOOMIS DR APT B2
City WEST HARTFORD
State CT
Zip Code 06107-2017

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City WEST HARTFORD
Zip Code 06107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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