ANDREA B HAGANI MD (Credential# 215223) 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.
ANDREA B HAGANI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028366. 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 15 Corporate Dr, Trumbull, CT 06611-1351. The current status is active.
Licensee Name | ANDREA B HAGANI MD |
Credential ID | 215223 |
Credential Number | CSP.0028366 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
15 Corporate Dr Trumbull CT 06611-1351 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-06-15 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
555197 | 1.037607 | Physician/Surgeon | 1999-03-26 | 2019-08-01 - 2020-07-31 | ACTIVE |
Street Address | 15 CORPORATE DR |
City | TRUMBULL |
State | CT |
Zip Code | 06611-1351 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nimrod E Dayan Md | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sonja A Vindheim | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michele R Even | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert D Chessin Md | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jillian M Grant | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John-paul Ayala Md | 15 Corporate Dr, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles A Woods | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
Krishna Priya M Raju Md | 15 Corporate Dr, Trumbull, CT 06611 | Physician/surgeon | 2003-11-21 ~ 2004-11-30 |
Katherine P Hendra Md | 15 Corporate Dr, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Medical Arts Pharmacy | 15 Corporate Dr Ste 1-1, Trumbull, CT 06611-1351 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
Rachelle S D'angelo | 15 Corporate Dr Ste 2-1, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joseph Evangelista | 115 Technology Drive, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Frank Spano | 15 Corporate Dr Ste 2-1, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Francesca R. Luna-rudin | 15 Corporate Dr Ste 2-1, Trumbull, CT 06611-1351 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Find all Licenses in zip 06611 |
City | TRUMBULL |
Zip Code | 06611 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea E Gordon Md | 95 Columbus Pl #3, Stamford, CT 06907 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Andrea W Johnson | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Andrea M Koploy | 62 Dwight St Apt 5, Brookline, MA 02446-3319 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Andrea Banty | 945 Main St, Manchester, CT 06040-6064 | Controlled Substance Registration for Practitioner | 2019-01-09 ~ 2019-02-28 |
Andrea S Cziffer | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Andrea Desai | 101 S Ellwood Ave Apt 616, Baltimore, MD 21224-2281 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Andrea Bourque Dvm | 750 Broad St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Andrea Calderon Odewald Pa | Psc 482 Box 2946, Fpo Ap, 96362 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Andrea Berg | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Andrea Chelsea Lee | 56 Dickinson Rd, Haddam, CT 06438-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANDREA B HAGANI MD.
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).