NAYER H KHAZENI MD
Controlled Substance Registration for Practitioner


Address: 45 Harrison Ave #9, Branford, CT 06405

NAYER H KHAZENI MD (Credential# 372619) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

NAYER H KHAZENI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035025. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 45 Harrison Ave #9, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name NAYER H KHAZENI MD
Credential ID 372619
Credential Number CSP.0035025
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 45 Harrison Ave #9
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-14
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
560014 1.042432 Physician/Surgeon 2004-05-12 2004-06-17 - 2005-08-31 INACTIVE

Office Location

Street Address 45 HARRISON AVE #9
City BRANFORD
State CT
Zip Code 06405

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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