REZA SHARAFI MD
Controlled Substance Registration for Practitioner


Address: 311 Lowell St Apt 3117, Andover, MA 01810

REZA SHARAFI MD (Credential# 428001) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

REZA SHARAFI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038780. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 311 Lowell St Apt 3117, Andover, MA 01810. The current status is inactive.

Basic Information

Licensee Name REZA SHARAFI MD
Credential ID 428001
Credential Number CSP.0038780
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 311 Lowell St Apt 3117
Andover
MA 01810
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-02-03
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
561592 1.044010 Physician/Surgeon 2006-01-10 2006-08-23 - 2007-08-31 INACTIVE

Office Location

Street Address 311 LOWELL ST APT 3117
City ANDOVER
State MA
Zip Code 01810

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Competitor

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City ANDOVER
Zip Code 01810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANDOVER

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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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