PIA ALI-SALAAM MD
Controlled Substance Registration for Practitioner


Address: 65 Favre Street, Boston, MA 02126

PIA ALI-SALAAM MD (Credential# 280145) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

PIA ALI-SALAAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030873. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 65 Favre Street, Boston, MA 02126. The current status is inactive.

Basic Information

Licensee Name PIA ALI-SALAAM MD
Credential ID 280145
Credential Number CSP.0030873
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 65 Favre Street
Boston
MA 02126
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557027 1.039442 Physician/Surgeon 2001-04-23 2004-01-12 - 2005-01-31 INACTIVE

Office Location

Street Address 65 FAVRE STREET
City BOSTON
State MA
Zip Code 02126

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Brett C Sabino 59 Richmere Rd, Boston, MA 02126 Electrical Limited Journeyperson ~
Maureen Y Hunte 45 Stow Rd, Mattapan, MA 02126 Real Estate Broker 2009-04-01 ~ 2010-03-31
Ania Noel-edwards 20 Mamelon Circle, Boston, MA 02126 Registered Nurse 2003-12-22 ~ 2004-09-30
Dawn A Smith 25 Pleasant Hill Ave, Mattapan, MA 02126 Registered Nurse 2002-05-01 ~ 2003-05-31
Josephine Marcelin · Marcelin 1444 Blue Hill Ave Apt 104, Mattapan, MA 02126 Licensed Practical Nurse 2002-08-20 ~ 2003-05-31
Wanda Ortiz 72 Westmore Road, Mattapan, MA 02126 Hairdresser/cosmetician 1997-03-20 ~ 1998-03-31
Julio C Martinez 70 Fairlawn Ave Apt D7, Mattapan, MA 02126-1685 Asbestos Abatement Worker 2015-04-15 ~ 2015-08-31
Kevin D Smith 54 Messinger St, Mattapan, MA 02126-1760 Asbestos Abatement Supervisor 2018-12-01 ~ 2019-11-30
Janie Castonguay 52 Evelyn St Apt 5, Boston, MA 02126-1867 Registered Nurse 2010-11-01 ~ 2011-10-31
Douglas A King 5 Fessenden St Apt 5, Mattapan, MA 02126-1889 Lead Abatement Worker ~
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Competitor

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City BOSTON
Zip Code 02126
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOSTON

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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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