HALEH GHANIZADEH MD
Controlled Substance Registration for Practitioner


Address: 238 Newtown Tpke, Redding, CT 06896-2415

HALEH GHANIZADEH MD (Credential# 340119) 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

HALEH GHANIZADEH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033464. 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 238 Newtown Tpke, Redding, CT 06896-2415. The current status is active.

Basic Information

Licensee Name HALEH GHANIZADEH MD
Credential ID 340119
Credential Number CSP.0033464
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 238 Newtown Tpke
Redding
CT 06896-2415
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-04-28
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
558832 1.041249 Physician/Surgeon 2003-03-21 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 238 NEWTOWN TPKE
City REDDING
State CT
Zip Code 06896-2415

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Competitor

Search similar business entities

City REDDING
Zip Code 06896
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + REDDING

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Huu Duc D Luu 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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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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