KELLY RAJESH PATEL
Controlled Substance Registration for Practitioner


Address: 18272 W 12 Mile Rd Apt 202, Southfield, MI 48076-2668

KELLY RAJESH PATEL (Credential# 2050612) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KELLY RAJESH PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074226. The credential type is controlled substance registration for practitioner. The effective date is June 16, 2020. The expiration date is February 28, 2021. The business address is 18272 W 12 Mile Rd Apt 202, Southfield, MI 48076-2668. The current status is active.

Basic Information

Licensee Name KELLY RAJESH PATEL
Credential ID 2050612
Credential Number CSP.0074226
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 18272 W 12 Mile Rd Apt 202
Southfield
MI 48076-2668
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-06-16
Effective Date 2020-06-16
Expiration Date 2021-02-28
Refresh Date 2020-06-19

Other licenses

ID Credential Code Credential Type Issue Term Status
2036483 1.066220 Physician/Surgeon 2020-06-16 2020-06-16 - 2021-02-28 ACTIVE

Office Location

Street Address 18272 W 12 MILE RD APT 202
City SOUTHFIELD
State MI
Zip Code 48076-2668

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Stephanie M Knox 20661 Southome St, Southfield, MI 48076 Registered Nurse 2020-07-01 ~ 2021-06-30
Beacon Hill Medical Pharmacy · Rxtra Solutions 1816 W 13 Mile Rd Ste, Southfield, MI 48076 Nonresident Pharmacy ~
Robert M Roth Jr 30655 Oldstream, Southfield, MI 48076 Professional Engineer 2000-02-01 ~ 2001-01-31
Leo I Stein 29540 Southfield Rd, Southfield, MI 48076 Architect 1997-01-27 ~ 1997-07-31
Michael Thomas Weber 18550 San Diego Blvd, Lathrup Village, MI 48076-3316 Registered Nurse ~
David L Smith 20736 Knob Woods Dr Apt 203, Southfield, MI 48076-4018 Public Service Technician - Telephone 2011-01-10 ~ 2011-09-30
38 Donald J Giffels 20500 Civic Center Dr #3500, Southfield, MI 48076-4101 Professional Engineer 1999-02-05 ~ 2000-01-31
Zwick & Banyai Pllc 20750 Civic Center Dr Ste 418, Southfield, MI 48076-4132 Certified Public Accountant Firm Permit 2020-01-01 ~ 2020-12-31
Good Charity Inc · Children's Leukemia of America Fund; Disaster Relief and Aid Fund; Disabled Veterans Wheelchair Games; National Breast Cancer Aw 20750 Civic Center Dr Ste 180, Southfield, MI 48076-4147 Public Charity 2015-12-01 ~ 2016-11-30
Marlene C Collins 20001 Evergreen Meadows Rd, Southfield, MI 48076-4214 Registered Nurse - Temporary 2013-11-16 ~ 2014-03-15
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Competitor

Search similar business entities

City SOUTHFIELD
Zip Code 48076
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHFIELD

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Venkata Rajesh Konjeti Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2013-03-06 ~ 2015-02-28
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Rajesh K Mehta 39 Buckland St Apt 15122, Manchester, CT 06042-7700 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Rajesh C Parekh 32 Jeremy Dr, East Lyme, CT 06333-1544 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Rajesh Zacharias Uconn Health Cntr, Farmiington, CT 06030 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Rajesh Tota-maharaj 6 Indian Hill Rd, Monroe, CT 06468-2861 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Rajesh V Lalla Dds Uconn Health Center Mc3912, Farmington, CT 06030-3912 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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