IHSAN AL-KHALIL
Controlled Substance Registration for Practitioner


Address: 473 Long Hill Road, Guilford, CT 06437

IHSAN AL-KHALIL (Credential# 162554) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 27, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

IHSAN AL-KHALIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023700. The credential type is controlled substance registration for practitioner. The effective date is September 27, 1995. The expiration date is February 28, 1997. The business address is 473 Long Hill Road, Guilford, CT 06437. The current status is inactive.

Basic Information

Licensee Name IHSAN AL-KHALIL
Credential ID 162554
Credential Number CSP.0023700
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 473 Long Hill Road
Guilford
CT 06437
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-09-27
Expiration Date 1997-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
543503 1.020826 Physician/Surgeon 1979-02-14 1996-01-09 - 1996-10-31 INACTIVE

Office Location

Street Address 473 LONG HILL ROAD
City GUILFORD
State CT
Zip Code 06437

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Competitor

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City GUILFORD
Zip Code 06437
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD

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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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