RUSSELL SALAM PARVIN
Controlled Substance Registration for Practitioner


Address: 42 Taunton Lake Drive, Newtown, CT 06470

RUSSELL SALAM PARVIN (Credential# 1413588) 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

RUSSELL SALAM PARVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065054. 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 42 Taunton Lake Drive, Newtown, CT 06470. The current status is active.

Basic Information

Licensee Name RUSSELL SALAM PARVIN
Credential ID 1413588
Credential Number CSP.0065054
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 42 Taunton Lake Drive
Newtown
CT 06470
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-03-24
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1392143 1.056277 Physician/Surgeon 2017-03-17 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 42 Taunton Lake Drive
City Newtown
State CT
Zip Code 06470

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Courtney M Parker 153 Boggs Hill Rd, Newtown, CT 06470 Registered Nurse 2020-07-01 ~ 2021-06-30
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Michael B Manes 21 Aunt Park Ln, Newtown, CT 06470 Architect 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City Newtown
Zip Code 06470
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Newtown

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Russell O Gee Jr 73 Cedar St, New Britain, CT 06052 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
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Bruce R Little Md 28 Russell St, Litchfield, CT 06759 Controlled Substance Registration for Practitioner 1997-03-18 ~ 1998-02-28
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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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