LILY DARA MD
Controlled Substance Registration for Practitioner


Address: 1983 Marengo Ave, Los Angeles, CA 06511-3975

LILY DARA MD (Credential# 530870) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 28, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

LILY DARA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045421. The credential type is controlled substance registration for practitioner. The effective date is April 28, 2009. The expiration date is February 28, 2011. The business address is 1983 Marengo Ave, Los Angeles, CA 06511-3975. The current status is inactive.

Basic Information

Licensee Name LILY DARA MD
Credential ID 530870
Credential Number CSP.0045421
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1983 Marengo Ave
Los Angeles
CA 06511-3975
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-28
Effective Date 2009-04-28
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
565121 1.047539 Physician/Surgeon 2009-04-02 2010-02-01 - 2011-01-31 INACTIVE

Office Location

Street Address 1983 MARENGO AVE
City LOS ANGELES
State CA
Zip Code 06511-3975

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Competitor

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City LOS ANGELES
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LOS ANGELES

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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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