MAHAMADU A MAIDA MD
Controlled Substance Registration for Practitioner


Address: 19 Fairhill Rd, Clifton Park, NY 12065-8731

MAHAMADU A MAIDA MD (Credential# 891503) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MAHAMADU A MAIDA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046238. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 19 Fairhill Rd, Clifton Park, NY 12065-8731. The current status is inactive.

Basic Information

Licensee Name MAHAMADU A MAIDA MD
Credential ID 891503
Credential Number CSP.0046238
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 19 Fairhill Rd
Clifton Park
NY 12065-8731
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-09-22
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
891595 1.048102 Physician/Surgeon 2009-08-31 2013-06-01 - 2014-05-31 INACTIVE

Office Location

Street Address 19 FAIRHILL RD
City CLIFTON PARK
State NY
Zip Code 12065-8731

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Competitor

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City CLIFTON PARK
Zip Code 12065
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CLIFTON PARK

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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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