SHAYIQ AHMADZIA MD
Controlled Substance Registration for Practitioner


Address: 1301 S Scott St Apt 718, Arlington, VA 22204-6218

SHAYIQ AHMADZIA MD (Credential# 999042) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

SHAYIQ AHMADZIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050201. The credential type is controlled substance registration for practitioner. The effective date is June 1, 2011. The expiration date is February 28, 2013. The business address is 1301 S Scott St Apt 718, Arlington, VA 22204-6218. The current status is inactive.

Basic Information

Licensee Name SHAYIQ AHMADZIA MD
Credential ID 999042
Credential Number CSP.0050201
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1301 S Scott St Apt 718
Arlington
VA 22204-6218
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-06-01
Effective Date 2011-06-01
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
984152 1.049918 Physician/Surgeon 2011-06-01 2011-06-01 - 2012-06-30 INACTIVE

Office Location

Street Address 1301 S SCOTT ST APT 718
City ARLINGTON
State VA
Zip Code 22204-6218

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Competitor

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City ARLINGTON
Zip Code 22204
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ARLINGTON

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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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