FAGUNA C PATEL (Credential# 1076537) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
FAGUNA C PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052640. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 80 Prange Rd, Brookfield, CT 06804-1041. The current status is inactive.
| Licensee Name | FAGUNA C PATEL |
| Credential ID | 1076537 |
| Credential Number | CSP.0052640 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
80 Prange Rd Brookfield CT 06804-1041 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-06-14 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1072630 | 1.050989-DO | Physician/Surgeon | 2012-06-04 | 2012-09-01 - 2013-08-31 | INACTIVE |
| Street Address | 80 PRANGE RD |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-1041 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
| Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06804 | |||
| City | BROOKFIELD |
| Zip Code | 06804 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Padmavatia Patel Md · C/o Southbury Training School | 1461 South Britain Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amisha J Patel | 905 Mix Ave Apt 1b, Hamden, CT 06514-5111 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Krupa B Patel | Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Devang N Patel Md | Apt B-3, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Jay C Patel | 132 Mansfield Ave Ste 200, Willimantic, CT 06226-2027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Biraj Patel | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Jaymin M Patel | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Vatsal Patel | 581 Crown St Apt 53, Meriden, CT 06450-6441 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Vipul A Patel Dds | 320 Boston Ave, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rishi R Patel | 18 Penny Ln, Bethel, CT 06801-1730 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on FAGUNA C PATEL.
| 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).