MOHAMAD N ZANBRAKJI
Controlled Substance Registration for Practitioner


Address: 59 Knox Rd, Stamford, CT 06907

MOHAMAD N ZANBRAKJI (Credential# 1082792) 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

MOHAMAD N ZANBRAKJI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053180. 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 59 Knox Rd, Stamford, CT 06907. The current status is active.

Basic Information

Licensee Name MOHAMAD N ZANBRAKJI
Credential ID 1082792
Credential Number CSP.0053180
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 59 Knox Rd
Stamford
CT 06907
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-09-19
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1244085 1.053799 Physician/Surgeon 2015-01-26 2020-02-01 - 2021-01-31 ACTIVE
1491065 1.059167-RES Resident Physician 2017-08-01 2017-08-01 - 2020-06-30 ACTIVE

Office Location

Street Address 59 Knox Rd
City Stamford
State CT
Zip Code 06907

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Competitor

Search similar business entities

City Stamford
Zip Code 06907
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stamford

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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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