ALEXANDER GEEVARGHESE
Controlled Substance Registration for Practitioner


Address: 12 Heritage Dr, Avon, CT 06001-4521

ALEXANDER GEEVARGHESE (Credential# 1175134) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

ALEXANDER GEEVARGHESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055519. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 12 Heritage Dr, Avon, CT 06001-4521. The current status is lapsed.

Basic Information

Licensee Name ALEXANDER GEEVARGHESE
Credential ID 1175134
Credential Number CSP.0055519
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Heritage Dr
Avon
CT 06001-4521
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-07-25
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1344589 1.055288-DO Physician/Surgeon 2016-05-20 2016-12-01 - 2017-11-30 INACTIVE

Office Location

Street Address 12 HERITAGE DR
City AVON
State CT
Zip Code 06001-4521

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jenny Mathew 12 Heritage Dr, Avon, CT 06001-4521 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28

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Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
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Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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