NIHAR S SHAH (Credential# 1424790) 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.
NIHAR S SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065454. 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 6115 Abbotts Bridge Road Apt 310, Duluth, GA 30097. The current status is active.
| Licensee Name | NIHAR S SHAH |
| Credential ID | 1424790 |
| Credential Number | CSP.0065454 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6115 Abbotts Bridge Road Apt 310 Duluth GA 30097 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488822 | 1.058217-RES | Resident Physician | 2017-06-28 | 2017-06-28 - 2020-06-30 | ACTIVE |
| Street Address | 6115 ABBOTTS BRIDGE ROAD APT 310 |
| City | DULUTH |
| State | GA |
| Zip Code | 30097 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Travis Lavar Lastinger | 6290 Abbotts Bridge Road, Ste 401, Johns Creek, GA 30097 | Professional Engineer | 2020-04-21 ~ 2021-01-31 |
| Georgette Grandison | 10950 Pennbrooke Xing, Johns Creek, GA 30097 | Registered Nurse | 2020-03-10 ~ 2020-09-30 |
| Eldon E Heaton | 9355 Prestwick Club Dr, Duluth, GA 30097 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alaric L Anderson | 2085 Woods River Ln, Duluth, GA 30097 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Charles Abraham | 180 Saint Amour Place, Johns Creek, GA 30097 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Hildegard I Hall | 4045 Balleycastle Ln, Duluth, GA 30097 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jeremy S Miller | 520 Marsh Park Dr, Duluth, GA 30097 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Deborah A Redling | 4350 Abbotts Pt Ct, Duluth, GA 30097 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Andrew R Lickwar | 4270 Gatewood Lane, Peachtree Corners, GA 30097 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Homer Alexander | 6050 Song Breeze Trace, Duluth, GA 30097 | Real Estate Broker | ~ 2016-03-31 |
| Find all Licenses in zip 30097 | |||
| City | DULUTH |
| Zip Code | 30097 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DULUTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nihar R Desai | 14 Heather Hill Road, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hajra Shah | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kosha K Shah Dds | 11 Grace St, Fairfield, CT 06825-7415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Riddhi S Shah | 5 Normandy Dr, Bethpage, NY 11714-6009 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Manan U Shah | 19 Library Ln S, Sturbridge, MA 01566-1093 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anuj R Shah Md | 23 Mattabasset Dr, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Abid Shah | 140 Kyles Way, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruchit R Shah | 20 York St # 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Achal Shah | 129 York St Apt 2j, New Haven, CT 06511-5604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Darshan J Shah | 139 Hazard Ave Ste 1-4, Enfield, CT 06082-4583 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).