IRADJ F NEJAD MD
Controlled Substance Registration for Practitioner


Address: 3180 Main St Ste 105, Bridgeport, CT 06606

IRADJ F NEJAD MD (Credential# 156276) 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

IRADJ F NEJAD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014574. 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 3180 Main St Ste 105, Bridgeport, CT 06606. The current status is inactive.

Basic Information

Licensee Name IRADJ F NEJAD MD
Credential ID 156276
Credential Number CSP.0014574
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3180 Main St Ste 105
Bridgeport
CT 06606
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2010-06-16

Other licenses

ID Credential Code Credential Type Issue Term Status
541969 1.016573 Physician/Surgeon 1974-04-05 2009-06-10 - 2010-07-31 INACTIVE

Office Location

Street Address 3180 MAIN ST STE 105
City BRIDGEPORT
State CT
Zip Code 06606

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City BRIDGEPORT
Zip Code 06606
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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