ABDUL H KHALIQ
Controlled Substance Registration for Practitioner


Address: 45 S Main St, West Hartford, CT 06107-2441

ABDUL H KHALIQ (Credential# 145384) 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

ABDUL H KHALIQ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007182. 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 45 S Main St, West Hartford, CT 06107-2441. The current status is active.

Basic Information

Licensee Name ABDUL H KHALIQ
Credential ID 145384
Credential Number CSP.0007182
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 45 S Main St
West Hartford
CT 06107-2441
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
543159 1.019793 Physician/Surgeon 1978-03-03 2019-04-01 - 2020-03-31 ACTIVE

Office Location

Street Address 45 S MAIN ST
City WEST HARTFORD
State CT
Zip Code 06107-2441

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David J Berkowitz 45 S Main St, West Hartford, CT 06107 Psychologist 2008-01-03 ~ 2009-02-28

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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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