MUHAMMAD ISLAM MD
Controlled Substance Registration for Practitioner


Address: 91 Mcintosh Rd, Stamford, CT 06903

MUHAMMAD ISLAM MD (Credential# 144892) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MUHAMMAD ISLAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006696. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 91 Mcintosh Rd, Stamford, CT 06903. The current status is inactive.

Basic Information

Licensee Name MUHAMMAD ISLAM MD
Credential ID 144892
Credential Number CSP.0006696
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 91 Mcintosh Rd
Stamford
CT 06903
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
541436 1.015312 Physician/Surgeon 1971-12-09 2009-12-01 - 2010-11-30 INACTIVE

Office Location

Street Address 91 MCINTOSH RD
City STAMFORD
State CT
Zip Code 06903

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Genna L Meier 340 Webbs Hill Road, Stamford, CT 06903 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
Elizabeth A Porcheddu 367 Briar Brae Road, Stamford, CT 06903 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
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Cynthia L Castronovo-morabito · Lovallo/cameron 37 Gutzon Borglum Rd, Stamford, CT 06903 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Michele1 Sukatski 61 Shady Ln, Stamford, CT 06903 Medication Administration Certification ~
Joan M Bellantoni 239 Fishing Trail, Stamford, CT 06903 Notary Public Appointment 2020-09-01 ~ 2025-08-31
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Competitor

Search similar business entities

City STAMFORD
Zip Code 06903
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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