REZA N. SAMAD
Controlled Substance Registration for Practitioner


Address: 310 E 24th St Apt 10, New York, NY 10010-4012

REZA N. SAMAD (Credential# 1150699) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 8, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

REZA N. SAMAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054269. The credential type is controlled substance registration for practitioner. The effective date is May 8, 2013. The expiration date is February 28, 2015. The business address is 310 E 24th St Apt 10, New York, NY 10010-4012. The current status is inactive.

Basic Information

Licensee Name REZA N. SAMAD
Credential ID 1150699
Credential Number CSP.0054269
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 310 E 24th St Apt 10
New York
NY 10010-4012
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-05-08
Effective Date 2013-05-08
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1150588 1.051877 Physician/Surgeon 2013-05-03 2013-05-03 - 2014-05-31 INACTIVE

Office Location

Street Address 310 E 24TH ST APT 10
City NEW YORK
State NY
Zip Code 10010-4012

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City NEW YORK
Zip Code 10010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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