AVESTA M KHURSAND
Controlled Substance Registration for Practitioner


Address: 32 Thorney Ave, Huntington Station, NY 11746-3253

AVESTA M KHURSAND (Credential# 1341350) 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

AVESTA M KHURSAND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062318. 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 Thorney Ave, Huntington Station, NY 11746-3253. The current status is lapsed.

Basic Information

Licensee Name AVESTA M KHURSAND
Credential ID 1341350
Credential Number CSP.0062318
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 32 Thorney Ave
Huntington Station
NY 11746-3253
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-03-24
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
1337117 10.133026 Registered Nurse 2016-03-18 2017-01-01 - 2017-12-31 INACTIVE
1337118 12.006500 Advanced Practice Registered Nurse 2016-03-18 2017-01-01 - 2017-12-31 INACTIVE
1339833 10.132989-TEMP Registered Nurse - Temporary 2016-03-16 2016-03-16 - 2016-07-13 INACTIVE

Office Location

Street Address 32 THORNEY AVE
City HUNTINGTON STATION
State NY
Zip Code 11746-3253

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Competitor

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City HUNTINGTON STATION
Zip Code 11746
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HUNTINGTON STATION

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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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