SHIREEN A PAIS MD
Controlled Substance Registration for Practitioner


Address: 52 Taconic Rd, Millwood, NY 10546-1124

SHIREEN A PAIS MD (Credential# 532824) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

SHIREEN A PAIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045525. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 52 Taconic Rd, Millwood, NY 10546-1124. The current status is inactive.

Basic Information

Licensee Name SHIREEN A PAIS MD
Credential ID 532824
Credential Number CSP.0045525
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 52 Taconic Rd
Millwood
NY 10546-1124
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-07-01
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565456 1.047874 Physician/Surgeon 2009-06-30 2011-11-01 - 2012-10-31 INACTIVE

Office Location

Street Address 52 TACONIC RD
City MILLWOOD
State NY
Zip Code 10546-1124

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City MILLWOOD
Zip Code 10546
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILLWOOD

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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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