SUJA GEORGIE MD
Controlled Substance Registration for Practitioner


Address: 97a Summit Street, Derby, CT 06418

SUJA GEORGIE MD (Credential# 375981) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

SUJA GEORGIE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035358. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 97a Summit Street, Derby, CT 06418. The current status is inactive.

Basic Information

Licensee Name SUJA GEORGIE MD
Credential ID 375981
Credential Number CSP.0035358
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 97a Summit Street
Derby
CT 06418
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-22
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 97A SUMMIT STREET
City DERBY
State CT
Zip Code 06418

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Competitor

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City DERBY
Zip Code 06418
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DERBY

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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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