DEBASISH GHOSH MD
Controlled Substance Registration for Practitioner


Address: 255 Beacon Street #3 B, Somerville, MA 02143

DEBASISH GHOSH MD (Credential# 181167) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

DEBASISH GHOSH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025463. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 255 Beacon Street #3 B, Somerville, MA 02143. The current status is inactive.

Basic Information

Licensee Name DEBASISH GHOSH MD
Credential ID 181167
Credential Number CSP.0025463
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 255 Beacon Street #3 B
Somerville
MA 02143
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
553491 1.035898 Physician/Surgeon 1997-03-27 1998-12-03 - 2000-01-31 INACTIVE

Office Location

Street Address 255 BEACON STREET #3 B
City SOMERVILLE
State MA
Zip Code 02143

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Competitor

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City SOMERVILLE
Zip Code 02143
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOMERVILLE

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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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