CHETNA R PATEL SHAH
Controlled Substance Registration for Practitioner


Address: 401 E 34th St Apt S-12n, New York, NY 10016

CHETNA R PATEL SHAH (Credential# 304114) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

CHETNA R PATEL SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031856. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 401 E 34th St Apt S-12n, New York, NY 10016. The current status is inactive.

Basic Information

Licensee Name CHETNA R PATEL SHAH
Credential ID 304114
Credential Number CSP.0031856
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 401 E 34th St Apt S-12n
New York
NY 10016
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
742915 23.001166 Physician Assistant 2002-01-14 2003-10-16 - 2004-11-30 INACTIVE

Office Location

Street Address 401 E 34TH ST APT S-12N
City NEW YORK
State NY
Zip Code 10016

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City NEW YORK
Zip Code 10016
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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