ANITHA IRAKAM MD
Controlled Substance Registration for Practitioner


Address: 9 Abel Crossing, Norwich, CT 06360

ANITHA IRAKAM MD (Credential# 331238) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

ANITHA IRAKAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033109. The credential type is controlled substance registration for practitioner. The effective date is January 17, 2003. The expiration date is February 28, 2004. The business address is 9 Abel Crossing, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name ANITHA IRAKAM MD
Credential ID 331238
Credential Number CSP.0033109
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 9 Abel Crossing
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-01-17
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
558345 1.040762 Physician/Surgeon 2002-08-15 2002-08-15 - 2003-06-30 INACTIVE

Office Location

Street Address 9 ABEL CROSSING
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH

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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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