AMI V DESAI MD
Controlled Substance Registration for Practitioner


Address: 26 Rosemary Lane, Berlin, CT 06037

AMI V DESAI MD (Credential# 446181) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 12, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

AMI V DESAI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039838. The credential type is controlled substance registration for practitioner. The effective date is March 12, 2009. The expiration date is February 28, 2011. The business address is 26 Rosemary Lane, Berlin, CT 06037. The current status is inactive.

Basic Information

Licensee Name AMI V DESAI MD
Credential ID 446181
Credential Number CSP.0039838
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Rosemary Lane
Berlin
CT 06037
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-10-19
Effective Date 2009-03-12
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
887725 CSP.0046046 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-08-05 2009-08-05 - 2011-02-28 INACTIVE
884655 1.048003 Physician/Surgeon 2009-07-24 2009-07-24 - 2010-07-31 INACTIVE

Office Location

Street Address 26 ROSEMARY LANE
City BERLIN
State CT
Zip Code 06037

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Competitor

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City BERLIN
Zip Code 06037
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BERLIN

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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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