GANGADHARA R KABBLI MD
Controlled Substance Registration for Practitioner


Address: 110 4th Ave Apt 4e, Brooklyn, NY 11217-2788

GANGADHARA R KABBLI MD (Credential# 893185) 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

GANGADHARA R KABBLI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046434. 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 110 4th Ave Apt 4e, Brooklyn, NY 11217-2788. The current status is inactive.

Basic Information

Licensee Name GANGADHARA R KABBLI MD
Credential ID 893185
Credential Number CSP.0046434
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 110 4th Ave Apt 4e
Brooklyn
NY 11217-2788
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-09-11
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
565174 1.047592 Physician/Surgeon 2009-04-20 2011-03-01 - 2012-02-29 INACTIVE
1002045 CSP.0050472 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 110 4TH AVE APT 4E
City BROOKLYN
State NY
Zip Code 11217-2788

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Competitor

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City BROOKLYN
Zip Code 11217
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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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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