ISMAILA M JIBRIN MD
Controlled Substance Registration for Practitioner


Address: 248 Pool Rd, North Haven, CT 06473

ISMAILA M JIBRIN MD (Credential# 477826) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

ISMAILA M JIBRIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041989. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 248 Pool Rd, North Haven, CT 06473. The current status is inactive.

Basic Information

Licensee Name ISMAILA M JIBRIN MD
Credential ID 477826
Credential Number CSP.0041989
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 248 Pool Rd
North Haven
CT 06473
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-17
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
563354 1.045772 Physician/Surgeon 2007-08-13 2007-10-29 - 2008-12-31 INACTIVE

Office Location

Street Address 248 POOL RD
City NORTH HAVEN
State CT
Zip Code 06473

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Competitor

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City NORTH HAVEN
Zip Code 06473
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH HAVEN

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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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