ATIF AFZAL MD
Controlled Substance Registration for Practitioner


Address: 15-40 208th Street, Unit 2, Bayside, NY 11360

ATIF AFZAL MD (Credential# 1025776) 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

ATIF AFZAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051058. 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 15-40 208th Street, Unit 2, Bayside, NY 11360. The current status is inactive.

Basic Information

Licensee Name ATIF AFZAL MD
Credential ID 1025776
Credential Number CSP.0051058
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15-40 208th Street, Unit 2
Bayside
NY 11360
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-07-28
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
990179 1.050131 Physician/Surgeon 2011-07-14 2013-06-01 - 2014-05-31 INACTIVE

Office Location

Street Address 15-40 208th Street, Unit 2,
City Bayside
State NY
Zip Code 11360

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Competitor

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City Bayside
Zip Code 11360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bayside

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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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