SUNIL SHAH
Controlled Substance Registration for Practitioner


Address: 19 Jerome Dr, Farmingdale, NY 11735-1810

SUNIL SHAH (Credential# 1621827) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 21, 2018. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

SUNIL SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070014. The credential type is controlled substance registration for practitioner. The effective date is December 21, 2018. The expiration date is February 28, 2021. The business address is 19 Jerome Dr, Farmingdale, NY 11735-1810. The current status is inactive.

Basic Information

Licensee Name SUNIL SHAH
Credential ID 1621827
Credential Number CSP.0070014
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 19 Jerome Dr
Farmingdale
NY 11735-1810
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2018-12-21
Effective Date 2018-12-21
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1531507 1.062186 Physician/Surgeon 2018-12-20 2018-12-20 - 2019-10-31 INACTIVE

Office Location

Street Address 19 JEROME DR
City FARMINGDALE
State NY
Zip Code 11735-1810

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Industrial Scale Repair & Service Co Inc 55 Park Cir S, Farmingdale, NY 11735 Dealer of Weighing & Measuring Devices 2020-01-01 ~ 2020-12-31
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Competitor

Search similar business entities

City FARMINGDALE
Zip Code 11735
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGDALE

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Sunil Rana 49 Lake Ave, Greenwich, CT 06830-4501 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sunil K Dhuper Md 47 Red Ground Rd, Old Westbury, NY 11568-1143 Controlled Substance Registration for Practitioner 2009-01-15 ~ 2011-02-28
Sunil Mahesh Bhatt 200 College St Apt 338, New Haven, CT 06510-2448 Controlled Substance Registration for Practitioner 2019-06-05 ~ 2021-02-28
Sunil G Menon 1308 Chapel St, New Haven, CT 06511-4515 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sunil Saxena Md 30 Buxton Farm Road, Stamford, CT 06905 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sunil K Yerragondu Shafa Medical Center, East Hartford, CT 06108 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Hajra Shah Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Abid Shah 140 Kyles Way, Shelton, CT 06484 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Ketankumar Shah 5 Fairway Ct, Edison, NJ 08820-3665 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Amit A Shah 20 York St # 209, New Haven, CT 06512 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28

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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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