SALMAN FAZAL MD
Controlled Substance Registration for Practitioner


Address: 12212 Townwalk Dr, Hamden, CT 06518

SALMAN FAZAL MD (Credential# 447124) 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

SALMAN FAZAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040252. 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 12212 Townwalk Dr, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name SALMAN FAZAL MD
Credential ID 447124
Credential Number CSP.0040252
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12212 Townwalk Dr
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-08-17
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
562169 1.044587 Physician/Surgeon 2006-07-14 2006-07-14 - 2007-07-31 INACTIVE

Office Location

Street Address 12212 TOWNWALK DR
City HAMDEN
State CT
Zip Code 06518

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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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