ANUJ GUPTA MD
Controlled Substance Registration for Practitioner


Address: 161 Fort Washing Ave 5pp, New York, NY 10036

ANUJ GUPTA MD (Credential# 488881) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 28, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

ANUJ GUPTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042884. The credential type is controlled substance registration for practitioner. The effective date is November 28, 2007. The expiration date is February 29, 2008. The business address is 161 Fort Washing Ave 5pp, New York, NY 10036. The current status is inactive.

Basic Information

Licensee Name ANUJ GUPTA MD
Credential ID 488881
Credential Number CSP.0042884
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 161 Fort Washing Ave 5pp
New York
NY 10036
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-11-28
Effective Date 2007-11-28
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
563315 1.045733 Physician/Surgeon 2007-08-03 2007-08-03 - 2007-10-31 INACTIVE

Office Location

Street Address 161 FORT WASHING AVE 5PP
City NEW YORK
State NY
Zip Code 10036

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Competitor

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City NEW YORK
Zip Code 10036
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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