SAMPATH SUBRAMANIAM
Controlled Substance Registration for Practitioner


Address: 178 Meeting House Lane, Southampton, NY 11968

SAMPATH SUBRAMANIAM (Credential# 1128513) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 9, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

SAMPATH SUBRAMANIAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053906. The credential type is controlled substance registration for practitioner. The effective date is July 9, 2015. The expiration date is February 28, 2017. The business address is 178 Meeting House Lane, Southampton, NY 11968. The current status is inactive.

Basic Information

Licensee Name SAMPATH SUBRAMANIAM
Credential ID 1128513
Credential Number CSP.0053906
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 178 Meeting House Lane
Southampton
NY 11968
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-11-28
Effective Date 2015-07-09
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1128010 1.051492 Physician/Surgeon 2012-11-28 2014-05-01 - 2015-04-30 INACTIVE

Office Location

Street Address 178 meeting house lane
City southampton
State NY
Zip Code 11968

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Siamak B Samii 23 Culver Hill Street, Southampton, NY 11968 Architect 2020-08-01 ~ 2021-07-31
Lawrence F Sullivan 40 Adams Lane, Southampton, NY 11968 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Lafayette Capital Group Inc 53 Hill St. #2, Southampton, NY 11968 Real Estate Broker 2019-04-01 ~ 2020-03-31
Sunhe A Sherwood-dudley 50 Hill Street #365, Southampton, NY 11968 Real Estate Broker 2020-04-01 ~ 2021-03-31
Kathleen's Bake Shop 43 North Sea Rd, Southampton, NY 11968 Bakery 1997-07-01 ~ 1998-06-30
Steven V Cary · Suffolk County Dept/health 23 Shrubland Rd, Southampton, NY 11968 Professional Engineer 1991-02-08 ~ 1992-01-31
Devin A Glanz 24 Shore Road, Southampton, NY 11968 Limited Sheet Metal Journeyperson ~
Ali Tamsen 240 Meeting House Lane, Ste. 3, Southampton, NY 11968 Physician/surgeon 2010-10-01 ~ 2011-09-30
Patricia J Armusewicz 165 Majors Path, Southampton, NY 11968 Registered Nurse 1999-11-18 ~ 2001-01-31
William D Perino 115 Magee Street, Southampton, NY 11968 Lead Abatement Supervisor ~ 1996-09-30
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Competitor

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City southampton
Zip Code 11968
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + southampton

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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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