ANNA P ZIGANSHINA
Controlled Substance Registration for Practitioner


Address: 111 Park St Apt 17b, New Haven, CT 06511-5470

ANNA P ZIGANSHINA (Credential# 1359692) 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 INACTIVE.

Business Overview

ANNA P ZIGANSHINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063075. 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 111 Park St Apt 17b, New Haven, CT 06511-5470. The current status is inactive.

Basic Information

Licensee Name ANNA P ZIGANSHINA
Credential ID 1359692
Credential Number CSP.0063075
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 111 Park St Apt 17b
New Haven
CT 06511-5470
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2016-06-15
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-21

Other licenses

ID Credential Code Credential Type Issue Term Status
1489152 1.058450-RES Resident Physician 2016-06-20 2016-06-20 - 2019-06-30 INACTIVE

Office Location

Street Address 111 PARK ST APT 17B
City NEW HAVEN
State CT
Zip Code 06511-5470

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Tanuja Gandhi 111 Park St Apt 17a, New Haven, CT 06511-5470 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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