MAHBUBUL ISLAM MD
Controlled Substance Registration for Practitioner


Address: 1315 Main St, Willimantic, CT 06226

MAHBUBUL ISLAM MD (Credential# 483939) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

MAHBUBUL ISLAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042669. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 1315 Main St, Willimantic, CT 06226. The current status is inactive.

Basic Information

Licensee Name MAHBUBUL ISLAM MD
Credential ID 483939
Credential Number CSP.0042669
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1315 Main St
Willimantic
CT 06226
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-09-27
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
563438 1.045856 Physician/Surgeon 2007-09-12 2010-08-01 - 2011-07-31 INACTIVE

Office Location

Street Address 1315 MAIN ST
City WILLIMANTIC
State CT
Zip Code 06226

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Access Agency 1315 Main St, Willimantic, CT 06226 Home Improvement Contractor 2019-12-01 ~ 2020-11-30
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Ron Mattana · Care Home Professionals 1315 Main St, Willimantic, CT 06226 Lead Abatement Supervisor 2000-04-14 ~ 2001-02-28

Licenses in the same zip code

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Vasiliko Liapes · Mamas Pizza 277 Ash Street, Willimantic, CT 06226 Restaurant Wine & Beer 2020-04-28 ~ 2021-08-27
Janet G Ragno 46 Fairview Street, Willimantic, CT 06226 Nursing Home Administrator 2020-08-01 ~ 2022-07-31
Tim Devivo 1590 W Main St, Willimantic, CT 06226 Public Weigher 2020-07-01 ~ 2021-06-30
Antonio Manuel Santos 661 Windham Rd, Windham, CT 06226 Tattoo Technician 2020-06-25 ~ 2022-06-30
Rent A Center East Inc · Rent A Center #05068 1329 Main Street, Willimantic, CT 06226 Sterilization Permit for Bedding & Upholstered Furniture 2020-06-25 ~ 2021-04-30
Shaunda Baker 90 South Street, Willimantic, CT 06226 Medication Administration Certification 2020-07-12 ~ 2022-07-11
Willimantic Shell 1563 West Main St, Willimantic, CT 06226 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Elizabeth A Bailey 152 Main St, Willimantic, CT 06226 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Royal Buffet 1228 Main St, Willimantic, CT 06226 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Builders Concrete East LLC · Windham Sand & Stone Inc 75 N Windham Rd, Willimantic, CT 06226 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City WILLIMANTIC
Zip Code 06226
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLIMANTIC

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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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