ESAM ALHARIRI
Controlled Substance Registration for Practitioner


Address: 1361 Clove Rd Fl 1, Staten Island, NY 10301-4342

ESAM ALHARIRI (Credential# 1242872) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 25, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ESAM ALHARIRI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058633. The credential type is controlled substance registration for practitioner. The effective date is March 25, 2019. The expiration date is February 28, 2021. The business address is 1361 Clove Rd Fl 1, Staten Island, NY 10301-4342. The current status is active.

Basic Information

Licensee Name ESAM ALHARIRI
Credential ID 1242872
Credential Number CSP.0058633
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1361 Clove Rd Fl 1
Staten Island
NY 10301-4342
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-09-03
Effective Date 2019-03-25
Expiration Date 2021-02-28
Refresh Date 2019-03-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1229451 1.053319 Physician/Surgeon 2014-07-16 2019-03-01 - 2020-02-29 ACTIVE

Office Location

Street Address 1361 CLOVE RD FL 1
City STATEN ISLAND
State NY
Zip Code 10301-4342

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Competitor

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City STATEN ISLAND
Zip Code 10301
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND

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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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