PAUL G ELAZOURY
Controlled Substance Registration for Practitioner


Address: 1450 Chapel St # M136, New Haven, CT 06511-4405

PAUL G ELAZOURY (Credential# 478979) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

PAUL G ELAZOURY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042149. The credential type is controlled substance registration for practitioner. The effective date is March 19, 2009. The expiration date is February 28, 2011. The business address is 1450 Chapel St # M136, New Haven, CT 06511-4405. The current status is inactive.

Basic Information

Licensee Name PAUL G ELAZOURY
Credential ID 478979
Credential Number CSP.0042149
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1450 Chapel St # M136
New Haven
CT 06511-4405
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-15
Effective Date 2009-03-19
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 1450 CHAPEL ST # M136
City NEW HAVEN
State CT
Zip Code 06511-4405

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Nino Balanchivadze Yale New Haven Hospital St Raphaels Campus, New Haven, CT 06511-4405 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Shiqian Shen 1450 Chapel St Main 136, New Haven, CT 06511-4405 Controlled Substance Registration for Practitioner 2009-10-20 ~ 2011-02-28
Brennan B. Bowker Pa-c 1450 Chapel St, New Haven, CT 06511-4405 Physician Assistant 2020-05-01 ~ 2021-04-30
Indu Varghese 1450 Chapel St, New Haven, CT 06511-4405 Physician/surgeon 2020-03-01 ~ 2021-02-28
Gwendeline Demers Pa 1450 Chapel St, New Haven, CT 06511-4405 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Marwan S Haddad 38 Lincoln Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW 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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