MAIA TSIRGHILADZE
Controlled Substance Registration for Practitioner


Address: 168 Central Ave, West Haven, CT 06516-6730

MAIA TSIRGHILADZE (Credential# 1048836) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

MAIA TSIRGHILADZE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051895. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 168 Central Ave, West Haven, CT 06516-6730. The current status is inactive.

Basic Information

Licensee Name MAIA TSIRGHILADZE
Credential ID 1048836
Credential Number CSP.0051895
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 168 Central Ave
West Haven
CT 06516-6730
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2012-02-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-20

Other licenses

ID Credential Code Credential Type Issue Term Status
989798 2.010484 Dentist 2011-03-29 2011-03-29 - 2012-03-31 INACTIVE

Office Location

Street Address 168 CENTRAL AVE
City WEST HAVEN
State CT
Zip Code 06516-6730

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Elizabeth B Gendreau 152 Central Avenue, West Haven, CT 06516-6730 Notary Public Appointment 2012-01-01 ~ 2016-12-31
Eva's Miracle 156 Central Ave, West Haven, CT 06516-6730 Public Charity-exempt From Financial Requirements 2018-08-15 ~
Deborah Brainard 132 Central Ave, West Haven, CT 06516-6730 Home Improvement Salesperson 2019-12-01 ~ 2020-11-30
Henry M Saunders 11 View St, West Haven, CT 06516-6730 Limited Sheet Metal Journeyperson 2019-09-12 ~ 2020-08-31
Denise R Tabra 140 Central Ave, West Haven, CT 06516-6730 Emergency Medical Technician ~

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Nancy Cabrera Salinas 649 Third Ave., West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2021-07-31
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Junqin Wang 15 Central Ave West Haven, West Haven, CT 06516 Nail Technician ~
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Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
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Mcdonald's · Tay Mac Dba 1129 Campbell Ave, West Haven, CT 06516 Bakery 2020-07-01 ~ 2021-06-30
Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
Katherine M Grable 13 Perry Merrill Drive, West Haven, CT 06516 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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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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