SHEEJA MATHAI
Controlled Substance Registration for Practitioner


Address: 10 Lilac Ln, Danbury, CT 06810-7290

SHEEJA MATHAI (Credential# 525995) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

SHEEJA MATHAI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045174. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 10 Lilac Ln, Danbury, CT 06810-7290. The current status is active.

Basic Information

Licensee Name SHEEJA MATHAI
Credential ID 525995
Credential Number CSP.0045174
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Lilac Ln
Danbury
CT 06810-7290
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-03-05
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-14

Other licenses

ID Credential Code Credential Type Issue Term Status
564835 1.047253 Physician/Surgeon 2008-12-23 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 10 LILAC LN
City DANBURY
State CT
Zip Code 06810-7290

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Competitor

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City DANBURY
Zip Code 06810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY

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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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