FATHYEH MARVESTI MD
Controlled Substance Registration for Practitioner


Address: 24 Foxcroft Rd, Enfield, CT 06082

FATHYEH MARVESTI MD (Credential# 162004) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 21, 1994. The license expiration date date is January 1, 1996. The license status is INACTIVE.

Business Overview

FATHYEH MARVESTI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022616. The credential type is controlled substance registration for practitioner. The effective date is October 21, 1994. The expiration date is January 1, 1996. The business address is 24 Foxcroft Rd, Enfield, CT 06082. The current status is inactive.

Basic Information

Licensee Name FATHYEH MARVESTI MD
Credential ID 162004
Credential Number CSP.0022616
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 24 Foxcroft Rd
Enfield
CT 06082
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-10-21
Expiration Date 1996-01-01
Refresh Date 2004-04-23

Office Location

Street Address 24 FOXCROFT RD
City ENFIELD
State CT
Zip Code 06082

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Competitor

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City ENFIELD
Zip Code 06082
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD

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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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