SURIT SHARMA MD
Controlled Substance Registration for Practitioner


Address: 670 Mix Ave Apt 3k, Hamden, CT 06514

SURIT SHARMA MD (Credential# 163868) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

SURIT SHARMA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023059. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 670 Mix Ave Apt 3k, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name SURIT SHARMA MD
Credential ID 163868
Credential Number CSP.0023059
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 670 Mix Ave Apt 3k
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1996-03-01
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
551983 1.034385 Physician/Surgeon 1995-04-07 1995-11-22 - 1996-12-31 INACTIVE

Office Location

Street Address 670 MIX AVE Apt 3K
City HAMDEN
State CT
Zip Code 06514

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Competitor

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City HAMDEN
Zip Code 06514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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