AUDREY PAVLOV (Credential# 1006921) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
AUDREY PAVLOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050788. The credential type is controlled substance registration for practitioner. The effective date is July 27, 2011. The expiration date is February 28, 2013. The business address is 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0002. The current status is inactive.
| Licensee Name | AUDREY PAVLOV |
| Credential ID | 1006921 |
| Credential Number | CSP.0050788 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave # Mc-1234 Farmington CT 06030-0002 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-07-27 |
| Effective Date | 2011-07-27 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-07-24 |
| Street Address | 263 FARMINGTON AVE # MC-1234 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annabelle Rae B Chua | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Joseph B Paruolo | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-10 ~ 2015-02-28 |
| Mohsin Ehsan | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2015-02-28 |
| Sarika Chopra | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-15 ~ 2015-02-28 |
| Venkata Narasimhadevara | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Darryl Elefan | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-30 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Henderson | 263 Farmington Ave # Mc2947, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole Goulet | 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Robert Stewart | 263 Farmington Ave # Mc1234, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-11 ~ 2015-02-28 |
| Mohamed Swedeh | 263 Farmington Ave # Mc1321, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Veronica L Tucker | 263 Farmington Ave # Mc1930, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dhruva Chawla | 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-04-03 ~ 2015-02-28 |
| Rahul Patel | 263 Farmington Ave # Mc-1930, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Algenon Parson | 263 Farmington Ave # Mc-2015, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Cory Edgar | 263 Farmington Ave # Mc-4037, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Richard Shamo | 263 Farmington Ave # Mc-1720, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 06030-0002 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrey Pavlov | 17 Banbury Rd, West Simsbury, CT 06092-2601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey L Garrett | 55 Nye Rd Ste 102, Glastonbury, CT 06033-1281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey S Lefkowitz Md | Po Box 58, Amston, CT 06231-0058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Lastra Pa-c | 59 Cypress Rd, Newington, CT 06111-5601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey L Elliott Dmd | 4 Ichabod Rd, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Audrey Marsidi | 4 Proctor Dr, West Hartford, CT 06117-2037 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Audrey J Bakanauskas Aprn | 19 Phelps St, Windsor, CT 06075 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Audrey M Kemp | 8 Wildflower Drive, Hebron, CT 06248 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Chun | 5 Perryridge Road, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2015-05-18 ~ 2017-02-28 |
| Audrey C Bregante Aprn | 319 Columbus Ave, Valhalla, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on AUDREY PAVLOV.
| 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).