SHEELA S BANGALORE
Controlled Substance Registration for Practitioner


Address: 104 Harmund Place, Wethersfield, CT 06109

SHEELA S BANGALORE (Credential# 1121817) 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.

Business Overview

SHEELA S BANGALORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053677. 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 104 Harmund Place, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name SHEELA S BANGALORE
Credential ID 1121817
Credential Number CSP.0053677
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 104 Harmund Place
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-09-10
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
702070 2.007538 Dentist 1989-09-12 2014-01-01 - 2014-12-31 INACTIVE
160716 CSP.0017562 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-31 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 104 Harmund Place
City Wethersfield
State CT
Zip Code 06109

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Competitor

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City Wethersfield
Zip Code 06109
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wethersfield

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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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