POUYA BAHRAMI MD
Controlled Substance Registration for Practitioner


Address: 1028 Boulevard Ave, West Hartford, CT 06119

POUYA BAHRAMI MD (Credential# 281746) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 11, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

POUYA BAHRAMI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031049. The credential type is controlled substance registration for practitioner. The effective date is July 11, 2001. The expiration date is February 28, 2002. The business address is 1028 Boulevard Ave, West Hartford, CT 06119. The current status is inactive.

Basic Information

Licensee Name POUYA BAHRAMI MD
Credential ID 281746
Credential Number CSP.0031049
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1028 Boulevard Ave
West Hartford
CT 06119
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-07-11
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557243 1.039659 Physician/Surgeon 2001-06-26 2001-06-26 - 2002-01-31 INACTIVE

Office Location

Street Address 1028 BOULEVARD AVE
City WEST HARTFORD
State CT
Zip Code 06119

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Competitor

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City WEST HARTFORD
Zip Code 06119
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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