CHIRAG ASHOKKUMAR SHAH
Controlled Substance Registration for Practitioner


Address: 650 Flintlock Rd, Southport, CT 06890

CHIRAG ASHOKKUMAR SHAH (Credential# 1000888) 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

CHIRAG ASHOKKUMAR SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050307. 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 650 Flintlock Rd, Southport, CT 06890. The current status is active.

Basic Information

Licensee Name CHIRAG ASHOKKUMAR SHAH
Credential ID 1000888
Credential Number CSP.0050307
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 650 Flintlock Rd
Southport
CT 06890
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-06-29
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1495907 1.060432 Physician/Surgeon 2018-04-26 2020-01-01 - 2020-12-31 ACTIVE
1490975 1.059077-RES Resident Physician 2014-06-24 2014-06-24 - 2019-06-30 INACTIVE

Office Location

Street Address 650 Flintlock Rd
City Southport
State CT
Zip Code 06890

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Megha R Shah 650 Flintlock Rd, Southport, CT 06890 Pharmacist 2020-02-01 ~ 2022-01-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Alexander Esposito 312 High Meadow Rd, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Christina Muller 243 Sturbridge Lane, Southport, CT 06890 Licensed Clinical Social Worker ~
Carmen R Weber 45 Split Rock Road, Southport, CT 06890 Dietitian/nutritionist 2020-09-01 ~ 2021-08-31
Cher A Anderson 10 Anvil Road, Southport, CT 06890 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Christal L T Rodenhiser 193 Osborne Ln, Southport, CT 06890 Registered Nurse 2020-08-01 ~ 2021-07-31
David S Parker P.o. Box 491, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Peter H Ventriglia 60 Chester Pl, Southport, CT 06890 Real Estate Salesperson 2020-06-16 ~ 2021-05-31
Jennifer Adell Efstathiou 237 Woodrow Avenue, Southport, CT 06890 Esthetician ~
Brenda L Vanfleet 160 Range Rd, Southport, CT 06890 Dental Hygienist 2020-06-01 ~ 2021-05-31
John S Brice 71 Old Post Rd, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06890

Competitor

Search similar business entities

City Southport
Zip Code 06890
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southport

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Ashokkumar K Shah Md 2 Rufus Street, Ansonia, CT 06401 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Chirag Vaidya Md 56 Franklin St, Waterbury, CT 06706 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Chirag R Parikh Md 950 Campbell Ave, West Haven, CT 06516 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Hajra Shah Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Suvarna M Shah Md 9 Mott Ave, Norwalk, CT 06850 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
Nilay Shah 550 W 54th St, New York, NY 10019 Controlled Substance Registration for Practitioner 2019-02-27 ~ 2021-02-28
Sunil Shah 19 Jerome Dr, Farmingdale, NY 11735-1810 Controlled Substance Registration for Practitioner 2018-12-21 ~ 2021-02-28
Shivani S Shah 423 E 90th St Apt 6 F, New York, NY 10128-4236 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Aman Shah 900 Chapel St, New Haven, CT 06510 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Suresh M Shah Md 29 Cascade Rd, W Hartford, CT 06117 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28

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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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