HASSAM SULTAN
Controlled Substance Registration for Practitioner


Address: 92 Burnett Ave Apt 101, Maplewood, NJ 07040-2982

HASSAM SULTAN (Credential# 1082727) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

HASSAM SULTAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053158. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 92 Burnett Ave Apt 101, Maplewood, NJ 07040-2982. The current status is lapsed.

Basic Information

Licensee Name HASSAM SULTAN
Credential ID 1082727
Credential Number CSP.0053158
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 92 Burnett Ave Apt 101
Maplewood
NJ 07040-2982
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2012-08-08
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1127412 2.010888 Dentist 2012-11-07 2017-04-01 - 2018-03-31 INACTIVE

Office Location

Street Address 92 BURNETT AVE APT 101
City MAPLEWOOD
State NJ
Zip Code 07040-2982

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Bethany A Joseph 7 Wellesley Road, Maplewood, NJ 07040 Master's Level Social Worker 2017-05-01 ~ 2018-04-30
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Competitor

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City MAPLEWOOD
Zip Code 07040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MAPLEWOOD

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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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