KOMAL PATEL
Controlled Substance Registration for Practitioner


Address: 730 Farmington Ave Apt 202, West Hartford, CT 06119-1743

KOMAL PATEL (Credential# 1181945) 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

KOMAL PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056015. 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 730 Farmington Ave Apt 202, West Hartford, CT 06119-1743. The current status is lapsed.

Basic Information

Licensee Name KOMAL PATEL
Credential ID 1181945
Credential Number CSP.0056015
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 730 Farmington Ave Apt 202
West Hartford
CT 06119-1743
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-08-28
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
1158802 1.052345 Physician/Surgeon 2013-08-22 2017-06-01 - 2018-05-31 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Komal Patel 11 Wyndcrest Ct, Plantsville, CT 06479-1755 Pharmacist 2020-02-01 ~ 2022-01-31

Office Location

Street Address 730 FARMINGTON AVE APT 202
City WEST HARTFORD
State CT
Zip Code 06119-1743

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Prajapathi R Lakireddy 730 Farmington Ave, West Hartford, CT 06119-1743 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28

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Competitor

Search similar business entities

City WEST HARTFORD
Zip Code 06119
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

Similar businesses

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Komal J Bhatt Md 718 Carlisle Way, Sunnyvale, CA 94087-3427 Controlled Substance Registration for Practitioner 2011-03-17 ~ 2013-02-28
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Padmavatia Patel Md · C/o Southbury Training School 1461 South Britain Rd, Southbury, CT 06488 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Devang N Patel Md Apt B-3, Farmington, CT 06032 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
Krupa B Patel Stamford, CT 06902 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Biraj Patel New Haven, CT 06511 Controlled Substance Registration for Practitioner 2008-03-03 ~ 2009-02-28
Amisha J Patel 905 Mix Ave Apt 1b, Hamden, CT 06514-5111 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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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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