ROSCHANAK MOSSABEB MD
Controlled Substance Registration for Practitioner


Address: 25 Vassar Rd, Broomall, PA 19008

ROSCHANAK MOSSABEB MD (Credential# 479111) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ROSCHANAK MOSSABEB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042209. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 25 Vassar Rd, Broomall, PA 19008. The current status is inactive.

Basic Information

Licensee Name ROSCHANAK MOSSABEB MD
Credential ID 479111
Credential Number CSP.0042209
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Vassar Rd
Broomall
PA 19008
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-09
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
563282 1.045700 Physician/Surgeon 2007-07-25 2008-10-30 - 2009-10-31 INACTIVE
379989 CSP.0035806 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-09-13 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 25 VASSAR RD
City BROOMALL
State PA
Zip Code 19008

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Messianic Jewish Alliance of America 511 Abbott Road, Broomall, PA 19008 Public Charity-exempt From Financial Requirements ~
Thomas C Watson 2601 Springfield Rd, Broomall, PA 19008 Dentist 1992-10-23 ~ 1993-10-31
Toni C Roth 547 Paxonhallow Rd, Broomell, PA 19008 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
Maiora Renewables Fund II 27 Hospital Road, Georgetown, Grand Cayman, CY 19008 Securities - Exemptions 2019-11-15 ~
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Thomas Rodack 14 Tall Tree Cir, Broomall, PA 19008-1063 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City BROOMALL
Zip Code 19008
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOMALL

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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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