KHANH V NGUYEN MD
Controlled Substance Registration for Practitioner


Address: 224 Goddard Row, Newport, RI 02840

KHANH V NGUYEN MD (Credential# 536698) 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

KHANH V NGUYEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045730. 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 224 Goddard Row, Newport, RI 02840. The current status is inactive.

Basic Information

Licensee Name KHANH V NGUYEN MD
Credential ID 536698
Credential Number CSP.0045730
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 224 Goddard Row
Newport
RI 02840
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-06-29
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
565259 1.047677 Physician/Surgeon 2009-05-11 2011-12-01 - 2012-11-30 INACTIVE

Office Location

Street Address 224 GODDARD ROW
City NEWPORT
State RI
Zip Code 02840

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Competitor

Search similar business entities

City NEWPORT
Zip Code 02840
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWPORT

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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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