AMY F CHAI
Controlled Substance Registration for Practitioner


Address: 714 Chase Pkwy, Waterbury, CT 06708-3012

AMY F CHAI (Credential# 1385351) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

AMY F CHAI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064234. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 714 Chase Pkwy, Waterbury, CT 06708-3012. The current status is active.

Basic Information

Licensee Name AMY F CHAI
Credential ID 1385351
Credential Number CSP.0064234
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 714 Chase Pkwy
Waterbury
CT 06708-3012
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-10-21
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1228507 1.053383 Physician/Surgeon 2014-08-01 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 714 CHASE PKWY
City WATERBURY
State CT
Zip Code 06708-3012

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Competitor

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City WATERBURY
Zip Code 06708
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY

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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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