SIAMAK BARKHORDARIAN MD
Controlled Substance Registration for Practitioner


Address: 265 College St Apt 11m, New Hvaen, CT 06510-2425

SIAMAK BARKHORDARIAN MD (Credential# 280496) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

SIAMAK BARKHORDARIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031035. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 265 College St Apt 11m, New Hvaen, CT 06510-2425. The current status is inactive.

Basic Information

Licensee Name SIAMAK BARKHORDARIAN MD
Credential ID 280496
Credential Number CSP.0031035
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 265 College St Apt 11m
New Hvaen
CT 06510-2425
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557005 1.039420 Physician/Surgeon 2001-04-11 2002-01-29 - 2003-03-31 INACTIVE

Office Location

Street Address 265 COLLEGE ST APT 11M
City NEW HVAEN
State CT
Zip Code 06510-2425

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City NEW HVAEN
Zip Code 06510
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HVAEN

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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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