ASHWIN BALAGOPAL MD
Controlled Substance Registration for Practitioner


Address: 123 York St Apt.6a, New Haven, CT 06511

ASHWIN BALAGOPAL MD (Credential# 347554) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

ASHWIN BALAGOPAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033975. The credential type is controlled substance registration for practitioner. The effective date is March 2, 2004. The expiration date is February 28, 2005. The business address is 123 York St Apt.6a, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name ASHWIN BALAGOPAL MD
Credential ID 347554
Credential Number CSP.0033975
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 123 York St Apt.6a
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 2004-03-02
Expiration Date 2005-02-28
Refresh Date 2005-02-08

Other licenses

ID Credential Code Credential Type Issue Term Status
559223 1.041640 Physician/Surgeon 2003-07-07 2003-10-27 - 2004-10-31 INACTIVE

Office Location

Street Address 123 YORK ST APT.6A
City NEW HAVEN
State CT
Zip Code 06511

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Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kieran Jones 260 Crown St Unit 1f, New Haven, CT 06511 Registered Nurse ~
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Competitor

Search similar business entities

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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