JUSTIN VARGHESE
Controlled Substance Registration for Practitioner


Address: 15 Seth Ln, Hicksville, NY 11801-6514

JUSTIN VARGHESE (Credential# 1236111) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 30, 2014. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JUSTIN VARGHESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058261. The credential type is controlled substance registration for practitioner. The effective date is July 30, 2014. The expiration date is February 28, 2015. The business address is 15 Seth Ln, Hicksville, NY 11801-6514. The current status is inactive.

Basic Information

Licensee Name JUSTIN VARGHESE
Credential ID 1236111
Credential Number CSP.0058261
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Seth Ln
Hicksville
NY 11801-6514
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-07-30
Effective Date 2014-07-30
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 15 SETH LN
City HICKSVILLE
State NY
Zip Code 11801-6514

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Competitor

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City HICKSVILLE
Zip Code 11801
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HICKSVILLE

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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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