GEENA K VARGHESE (Credential# 1254805) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GEENA K VARGHESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059014. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 4 Massachusetts Ave, Congers, NY 10920-2410. The current status is active.
| Licensee Name | GEENA K VARGHESE |
| Credential ID | 1254805 |
| Credential Number | CSP.0059014 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Massachusetts Ave Congers NY 10920-2410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-12-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1229202 | 1.053715-DO | Physician/Surgeon | 2014-11-26 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 4 MASSACHUSETTS AVE |
| City | CONGERS |
| State | NY |
| Zip Code | 10920-2410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Estis | 44 Foltim Way, Congers, NY 10920 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Kashi N Ray | 4 Beth Lane, Congers, NY 10920 | Architect | 2018-08-01 ~ 2019-07-31 |
| Guillermo E Sanchez | 210 S. Conger Ave, Congers, NY 10920 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Arthur W Zoubek | 230 Foltim Way, Congers, NY 10920 | Respiratory Care Practitioner | 2020-03-01 ~ 2021-02-28 |
| Cynthia Poslusny Duggan | 30 Von Beaste Ln, Congers, NY 10920 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mariakutty M George | 134 New York Avenue, Congers, NY 10920 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Vladimir Shabin | 235 South Congers Ave, Congers, NY 10920 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Paul J Shea | 52 Ohio Avenue, Congers, NY 10920 | Notary Public Appointment | 2006-10-12 ~ 2011-10-31 |
| Anthony Ferrante | 17 Wells Avenue, Congers, NY 10920 | Notary Public Appointment | 2007-08-24 ~ 2012-08-31 |
| Katherine A Mangan | 25 North Conger Avenue, Congers, NY 10920 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10920 | |||
| City | CONGERS |
| Zip Code | 10920 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CONGERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin Varghese | 15 Seth Ln, Hicksville, NY 11801-6514 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
| Merilyn Varghese | 111 Park St Apt 5f, New Haven, CT 06511-5452 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daji D Varghese | 9 Granite Rd, New Milford, CT 06776-3089 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Soji M Varghese | 101 Village Dr, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Cara H Varghese Pa-c | 9 Granite Road, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah Varghese | 263 Farmington Ave # Mc1235, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-12 ~ 2015-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on GEENA K VARGHESE.
| 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).