OSAMA MUKARRAM
Controlled Substance Registration for Practitioner


Address: 179 Hampton Ct, Newington, CT 06111-1106

OSAMA MUKARRAM (Credential# 1422848) 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

OSAMA MUKARRAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065332. 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 179 Hampton Ct, Newington, CT 06111-1106. The current status is active.

Basic Information

Licensee Name OSAMA MUKARRAM
Credential ID 1422848
Credential Number CSP.0065332
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 179 Hampton Ct
Newington
CT 06111-1106
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-05-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1488699 1.058094-RES Resident Physician 2017-07-01 2017-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 179 HAMPTON CT
City NEWINGTON
State CT
Zip Code 06111-1106

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Competitor

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City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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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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