SAHBINA A EBBA
Controlled Substance Registration for Practitioner


Address: 32 Morris Rd, Ambler, PA 19002-5232

SAHBINA A EBBA (Credential# 1229889) 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

SAHBINA A EBBA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057471. 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 32 Morris Rd, Ambler, PA 19002-5232. The current status is lapsed.

Basic Information

Licensee Name SAHBINA A EBBA
Credential ID 1229889
Credential Number CSP.0057471
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 32 Morris Rd
Ambler
PA 19002-5232
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-06-23
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
1491648 1.059383-RES Resident Physician 2017-07-01 2018-07-01 - 2018-08-26 INACTIVE

Office Location

Street Address 32 MORRIS RD
City AMBLER
State PA
Zip Code 19002-5232

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Scott T Kupper 300 Brookside Ave., Ambler, PA 19002 Professional Engineer 2020-02-01 ~ 2021-01-31
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Stacy E Shimp 1673 Ludwell Drive, Ambler, PA 19002 Physician Assistant 2019-12-01 ~ 2020-11-30
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Competitor

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City AMBLER
Zip Code 19002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AMBLER

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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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