SHOLEH KAMALIAN MD
Controlled Substance Registration for Practitioner


Address: 1556 River Rd Unit 2, Edgewater, NJ 07020-1518

SHOLEH KAMALIAN MD (Credential# 424947) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

SHOLEH KAMALIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038668. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 1556 River Rd Unit 2, Edgewater, NJ 07020-1518. The current status is inactive.

Basic Information

Licensee Name SHOLEH KAMALIAN MD
Credential ID 424947
Credential Number CSP.0038668
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1556 River Rd Unit 2
Edgewater
NJ 07020-1518
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-12-29
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
561454 1.043872 Physician/Surgeon 2005-10-07 2016-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 1556 RIVER RD UNIT 2
City EDGEWATER
State NJ
Zip Code 07020-1518

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Jose G Bejarano Md 2 Main St Unit 507, Edgewater, NJ 07020 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Thomas J Clancy 100 Grand Cove Way, Edgewater, NJ 07020 Professional Engineer 2017-02-01 ~ 2018-01-31
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Brian F Murphy · Nuclear Enrgy Srv Div of Qlcrp 24 Colony Rd Box 215, Edgewater, NJ 07020 Professional Engineer 1989-02-22 ~ 1990-01-31
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Competitor

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City EDGEWATER
Zip Code 07020
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EDGEWATER

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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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