HEENA SULTAN MD
Controlled Substance Registration for Practitioner


Address: 201 Whites Hill Lane, Fairfield, CT 06824

HEENA SULTAN MD (Credential# 282635) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

HEENA SULTAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031116. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 201 Whites Hill Lane, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name HEENA SULTAN MD
Credential ID 282635
Credential Number CSP.0031116
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 201 Whites Hill Lane
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2001-07-16
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
557193 1.039609 Physician/Surgeon 2001-06-13 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 201 WHITES HILL LANE
City FAIRFIELD
State CT
Zip Code 06824

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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