KAVEH SHAHMOHAMMADI DAVOUDI
Controlled Substance Registration for Practitioner


Address: 33 Church Hill Road, Newtown, CT 06470

KAVEH SHAHMOHAMMADI DAVOUDI (Credential# 477084) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KAVEH SHAHMOHAMMADI DAVOUDI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041938. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 33 Church Hill Road, Newtown, CT 06470. The current status is active.

Basic Information

Licensee Name KAVEH SHAHMOHAMMADI DAVOUDI
Credential ID 477084
Credential Number CSP.0041938
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 33 Church Hill Road
Newtown
CT 06470
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-08-03
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-04

Other licenses

ID Credential Code Credential Type Issue Term Status
561282 1.043700 Physician/Surgeon 2005-08-04 2019-09-01 - 2020-08-31 ACTIVE
537302 CSP.0045809 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-08-26 2009-08-26 - 2011-02-28 INACTIVE

Office Location

Street Address 33 Church Hill Road
City Newtown
State CT
Zip Code 06470

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Competitor

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City Newtown
Zip Code 06470
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Newtown

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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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