IYAD A AL-AMMOURI
Controlled Substance Registration for Practitioner


Address: 865 Mix Ave Apt 414, Hamden, CT 06514

IYAD A AL-AMMOURI (Credential# 380725) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 8, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

IYAD A AL-AMMOURI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036102. The credential type is controlled substance registration for practitioner. The effective date is October 8, 2004. The expiration date is February 28, 2005. The business address is 865 Mix Ave Apt 414, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name IYAD A AL-AMMOURI
Credential ID 380725
Credential Number CSP.0036102
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 865 Mix Ave Apt 414
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-08
Effective Date 2004-10-08
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Office Location

Street Address 865 MIX AVE APT 414
City HAMDEN
State CT
Zip Code 06514

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City HAMDEN
Zip Code 06514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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