AVA BOORNAZIAN APRN
Controlled Substance Registration for Practitioner


Address: 185 Skyview Dr, Cromwell, CT 06416-1841

AVA BOORNAZIAN APRN (Credential# 260467) 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

AVA BOORNAZIAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030504. 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 185 Skyview Dr, Cromwell, CT 06416-1841. The current status is active.

Basic Information

Licensee Name AVA BOORNAZIAN APRN
Credential ID 260467
Credential Number CSP.0030504
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 185 Skyview Dr
Cromwell
CT 06416-1841
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2001-02-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-14

Other licenses

ID Credential Code Credential Type Issue Term Status
680622 12.002444 Advanced Practice Registered Nurse 2001-01-22 2020-01-01 - 2020-12-31 ACTIVE
620228 10.E51131 Registered Nurse 1988-09-01 2020-01-01 - 2020-12-31 ACTIVE
1344536 70 Emergency Medical Technician - EXPIRED APPLICATION

Office Location

Street Address 185 SKYVIEW DR
City CROMWELL
State CT
Zip Code 06416-1841

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Hasim J Shah 131 Coles Rd, Cromwell, CT 06416 Pharmacy Technician 2020-06-23 ~ 2021-03-31
Michelle R Berube 17 Arrowwood Dr, Cromwell, CT 06416 Registered Nurse 2020-08-01 ~ 2021-07-31
Joy Mekrut-suzio 352 Main Street, Cromwell, CT 06416 Speech and Language Pathologist 2020-09-01 ~ 2021-08-31
Gina M Branciforte 24 Bellaire Manor, Cromwell, CT 06416 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City CROMWELL
Zip Code 06416
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CROMWELL

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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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