PRAVIN V PATIL MD
Controlled Substance Registration for Practitioner


Address: 58 Wellington Dr, Farmington, CT 06032-3215

PRAVIN V PATIL MD (Credential# 476934) 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

PRAVIN V PATIL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041907. 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 58 Wellington Dr, Farmington, CT 06032-3215. The current status is inactive.

Basic Information

Licensee Name PRAVIN V PATIL MD
Credential ID 476934
Credential Number CSP.0041907
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 58 Wellington Dr
Farmington
CT 06032-3215
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-07-20
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
563118 1.045536 Physician/Surgeon 2007-06-21 2011-05-23 - 2011-11-30 INACTIVE
446852 CSP.0040206 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-11-24 2006-11-24 - 2007-02-28 INACTIVE

Office Location

Street Address 58 WELLINGTON DR
City FARMINGTON
State CT
Zip Code 06032-3215

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Competitor

Search similar business entities

City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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