KONSTANTINOS VAZOURAS
Controlled Substance Registration for Practitioner


Address: 263 Farmington Ave, Farmington, CT 06030-1615

KONSTANTINOS VAZOURAS (Credential# 1176801) 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

KONSTANTINOS VAZOURAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055743. 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 263 Farmington Ave, Farmington, CT 06030-1615. The current status is lapsed.

Basic Information

Licensee Name KONSTANTINOS VAZOURAS
Credential ID 1176801
Credential Number CSP.0055743
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 263 Farmington Ave
Farmington
CT 06030-1615
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-08-05
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 263 FARMINGTON AVE
City FARMINGTON
State CT
Zip Code 06030-1615

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Erica Shen Nofziger 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2027-06-30
Matthew D Goranson 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2026-06-30
Jacob Silver 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2025-06-30
Nicholas Bellas 263 Farmington Ave, Farmington, CT 06032-1956 Resident Physician 2020-07-01 ~ 2025-06-30
Jennifer Hale 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2025-06-30
Cory R Hewitt 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2025-06-30
Sango Huwaa Mosia Asante 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2025-06-30
Ryan Desrochers 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2025-06-30
Kelsey D Greenhalgh 263 Farmington Ave, Farmington, CT 06030-0001 Resident Dentist 2019-07-01 ~ 2025-06-30
Derek J Tow 263 Farmington Ave, Farmington, CT 06030-0001 Resident Dentist 2019-07-01 ~ 2025-06-30
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Joseph E Grasso Dds · University of Connecticut Joseph Grasso Dds, Farmington, CT 06030-1615 Controlled Substance Registration for Practitioner 2017-03-27 ~ 2019-02-28
Jung Hoon Yoo Reconsturctive Sciences, Farmington, CT 06030-1615 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Jae S Cho 263 Farmington Ave Rm L6078, Farmington, CT 06030-1615 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Daniel F Galindo Dept. of Prosthodontics, Farmington, CT 06030-1615 Dentist 2001-07-26 ~ 2002-09-30
Jacqueline Duncan Uconn Health Center, Farmington, CT 06030-1615 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
John R Agar Dds · University of Connecticut Uconn Health Center, Farmington, CT 06030-1615 Dentist 2020-02-01 ~ 2021-01-31

Licenses in the same zip code

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

Competitor

Search similar business entities

City FARMINGTON
Zip Code 06030
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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