ANDREA B HAGANI MD
Controlled Substance Registration for Practitioner


Address: 15 Corporate Dr, Trumbull, CT 06611-1351

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
555197 1.037607 Physician/Surgeon 1999-03-26 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 15 CORPORATE DR
City TRUMBULL
State CT
Zip Code 06611-1351

Licenses in the same location

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

Licenses in the same zip code

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

Licenses in the same zip code

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

Competitor

Search similar business entities

City TRUMBULL
Zip Code 06611
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL

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Andrea M Koploy 62 Dwight St Apt 5, Brookline, MA 02446-3319 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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
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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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