MICHAEL S AJEMIAN
Controlled Substance Registration for Practitioner


Address: 1592 Bucks Hill Rd, Southbury, CT 06488-4400

MICHAEL S AJEMIAN (Credential# 221293) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

MICHAEL S AJEMIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028868. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 1592 Bucks Hill Rd, Southbury, CT 06488-4400. The current status is inactive.

Basic Information

Licensee Name MICHAEL S AJEMIAN
Credential ID 221293
Credential Number CSP.0028868
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1592 Bucks Hill Rd
Southbury
CT 06488-4400
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2006-05-24
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2012-10-09

Other licenses

ID Credential Code Credential Type Issue Term Status
555594 1.038004 Physician/Surgeon 1999-08-03 2011-09-01 - 2012-06-19 INACTIVE

Office Location

Street Address 1592 BUCKS HILL RD
City SOUTHBURY
State CT
Zip Code 06488-4400

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Competitor

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City SOUTHBURY
Zip Code 06488
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY

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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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