MARAM KHALIFA
Controlled Substance Registration for Practitioner


Address: 299 Colt Hwy Apt 225, Farmington, CT 06032-3092

MARAM KHALIFA (Credential# 1525982) 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

MARAM KHALIFA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068786. 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 299 Colt Hwy Apt 225, Farmington, CT 06032-3092. The current status is active.

Basic Information

Licensee Name MARAM KHALIFA
Credential ID 1525982
Credential Number CSP.0068786
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 299 Colt Hwy Apt 225
Farmington
CT 06032-3092
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-06-25
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1496809 1.061410 Physician/Surgeon 2018-06-20 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 299 COLT HWY APT 225
City FARMINGTON
State CT
Zip Code 06032-3092

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Competitor

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City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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