CHELLIAH PANDIAN MD
Controlled Substance Registration for Practitioner


Address: 29 Ivanhill Street, Willimantic, CT 06226

CHELLIAH PANDIAN MD (Credential# 395105) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

CHELLIAH PANDIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036992. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 29 Ivanhill Street, Willimantic, CT 06226. The current status is inactive.

Basic Information

Licensee Name CHELLIAH PANDIAN MD
Credential ID 395105
Credential Number CSP.0036992
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 29 Ivanhill Street
Willimantic
CT 06226
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-02-03
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
560565 1.042983 Physician/Surgeon 2004-12-08 2008-07-23 - 2009-09-30 INACTIVE

Office Location

Street Address 29 IVANHILL STREET
City WILLIMANTIC
State CT
Zip Code 06226

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Competitor

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City WILLIMANTIC
Zip Code 06226
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLIMANTIC

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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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