RIDDHI S SHAH
Controlled Substance Registration for Practitioner


Address: 5 Normandy Dr, Bethpage, NY 11714-6009

RIDDHI S SHAH (Credential# 1300138) 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

RIDDHI S SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060998. 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 5 Normandy Dr, Bethpage, NY 11714-6009. The current status is lapsed.

Basic Information

Licensee Name RIDDHI S SHAH
Credential ID 1300138
Credential Number CSP.0060998
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Normandy Dr
Bethpage
NY 11714-6009
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-07-17
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
1498849 1.060132-RES Resident Physician 2015-07-01 2015-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 5 NORMANDY DR
City BETHPAGE
State NY
Zip Code 11714-6009

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Competitor

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City BETHPAGE
Zip Code 11714
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BETHPAGE

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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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