PANKAJ MALHOTRA MD
Controlled Substance Registration for Practitioner


Address: 14 Ferris Ave Apt 6, Norwalk, CT 06854-1537

PANKAJ MALHOTRA MD (Credential# 497814) 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

PANKAJ MALHOTRA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043260. 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 14 Ferris Ave Apt 6, Norwalk, CT 06854-1537. The current status is inactive.

Basic Information

Licensee Name PANKAJ MALHOTRA MD
Credential ID 497814
Credential Number CSP.0043260
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Ferris Ave Apt 6
Norwalk
CT 06854-1537
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-03-25
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
563780 1.046198 Physician/Surgeon 2008-02-07 2011-09-01 - 2012-08-31 INACTIVE
415228 CSP.0038255 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-09-28 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 14 FERRIS AVE APT 6
City NORWALK
State CT
Zip Code 06854-1537

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Competitor

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City NORWALK
Zip Code 06854
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK

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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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