FARAH T. RAHIEM
Controlled Substance Registration for Practitioner


Address: 282 Willow Street, New Haven, CT 06511-4601

FARAH T. RAHIEM (Credential# 997120) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

FARAH T. RAHIEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050106. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 282 Willow Street, New Haven, CT 06511-4601. The current status is lapsed.

Basic Information

Licensee Name FARAH T. RAHIEM
Credential ID 997120
Credential Number CSP.0050106
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 282 Willow Street
New Haven
CT 06511-4601
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2011-05-26
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
992696 1.050025 Physician/Surgeon 2011-06-28 2016-10-01 - 2017-09-30 INACTIVE

Office Location

Street Address 282 Willow Street
City NEW HAVEN
State CT
Zip Code 06511-4601

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Gerald V Cappiello 282 Willow Street, New Haven, CT 06500 Notary Public Appointment 1979-09-01 ~ 1984-03-31

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Competitor

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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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