Kalyan Katta Controlled Substance Registration for Practitioner
101 Washington Blvd Unit 1011, Stamford, CT 069026889


Kalyan Katta is licensed in the eLicensing system of Connecticut. The license credential ID is 1249968. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 101 Washington Blvd Unit 1011, Stamford, CT 069026889. The zip code is 06902.


Kalyan Katta · 101 Washington Blvd Unit 1011, Stamford, CT 069026889

Credential ID 1249968
Name KALYAN KATTA
Type INDIVIDUAL
Address 101 WASHINGTON BLVD UNIT 1011
STAMFORD, CT 069026889
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0058876
Credential Type CSP
Credential Number 58876
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 10/15/2014
Effective Date 10/15/2014
Expiration Date 02/28/2017
Record Refresh Date 08/18/201

KALYAN KATTA · Connecticut Business

Kalyan Katta · Dentist 48 Holy Family Rd Apt 108, Holyoke, MA 010402771

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