Purvi P. Shah Controlled Substance Registration for Practitioner
107 Newtown Road, Danbury, CT 06810


Purvi P. Shah is licensed in the eLicensing system of Connecticut. The license credential ID is 470039. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 107 Newtown Road, Danbury, CT 06810. The zip code is 06810.


Purvi P. Shah · 107 Newtown Road, Danbury, CT 06810

Credential ID 470039
Name PURVI P. SHAH
Type INDIVIDUAL
Address 107 NEWTOWN ROAD
DANBURY, CT 06810
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0041457
Credential Type CSP
Credential Number 41457
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 05/09/2007
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/26/201

street_number: 107
route: Newtown Road (Newtown Rd)
locality, political: Danbury
admin_level_2, political: Fairfield County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06810
postal_code_suffix: 4151
types : street_address
latitude: 41.4131762
longitude: -73.4068472
latlng: (41.4131762, -73.4068472)


PURVI P. SHAH · Connecticut Business

Purvi P. Shah · Physician/surgeon 107 Newtown Road, Danbury, CT 06810

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