License holder summary

SHABANA AZAM is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for SHABANA AZAM is CHICAGO, IL, 60612-3757. This licensed professional license is current. The license was granted 02/14/2014 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

SHABANA AZAM
Controlled Substance Registration for Practitioners
License number
CSP.0055945
Date granted
02/14/2014
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
CHICAGO, IL, 60612-3757
ctlicensing.org
ID 18266788
LAST UPDATED 2024-03-01 07:55:05 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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