NILUFER CLUBWALA (Credential# 1258679) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 13, 2014. The license expiration date date is February 28, 2017. The license status is INACTIVE.
NILUFER CLUBWALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059131. The credential type is controlled substance registration for practitioner. The effective date is December 13, 2014. The expiration date is February 28, 2017. The business address is 94 State Route 416, Campbell Hall, NY 10916-2520. The current status is inactive.
Licensee Name | NILUFER CLUBWALA |
Credential ID | 1258679 |
Credential Number | CSP.0059131 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
94 State Route 416 Campbell Hall NY 10916-2520 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2014-12-13 |
Effective Date | 2014-12-13 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1247158 | 1.053683 | Physician/Surgeon | 2014-11-21 | 2014-11-21 - 2015-09-30 | INACTIVE |
Street Address | 94 STATE ROUTE 416 |
City | CAMPBELL HALL |
State | NY |
Zip Code | 10916-2520 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian H Schutz | 3348 Route 208, Campbell Hall, NY 10916 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Brian M Welch | 2 Erie Street, Campbell Hall, NY 10916 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Patriot Construction LLC | 73 Day Rd, Campbell Hall, NY 10916 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
John A Atkins · John Atkins Contracting | 81 Erie St, Campbell Hall, NY 10916 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
Walter J Sutton | 27 Hi-lo Dr, Campbell Hall, NY 10916 | Electrical Unlimited Contractor | ~ |
Joseph V Napolitano | 3 Trail's Pointe Dr, Campbell Hall, NY 10916 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
Theodore P Dawydko | 54 Arbor Road, Campbell Hall, NY 10916 | Emergency Medical Technician | 2008-08-21 ~ 2011-01-01 |
Scott R Chudow | 1 Kiernan Road, Campbell, NY 10916 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Combined Community Funds of Ottaway Newspapers Inc. | 97 Route 416, Campbell Hall, NY 10916 | Public Charity | 2006-09-18 ~ 2007-05-31 |
Christine M Javenes | 53 Day Road, Campbell Hall, NY 10916 | Optometrist | 2006-05-01 ~ 2007-05-31 |
Find all Licenses in zip 10916 |
City | CAMPBELL HALL |
Zip Code | 10916 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CAMPBELL HALL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Kaushik Roy | Apt A2, Farmington, CT 06032-1249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sun Yong Lee Md | Philadelphia, PA 19107 | Controlled Substance Registration for Practitioner | 2011-05-24 ~ 2013-02-28 |
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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).