SANGEETHA RAGHAVENDRA DMD
Controlled Substance Registration for Practitioner


Address: 108 Scoville Road, Avon, CT 06001

SANGEETHA RAGHAVENDRA DMD (Credential# 376009) 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

SANGEETHA RAGHAVENDRA DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035363. 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 108 Scoville Road, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name SANGEETHA RAGHAVENDRA DMD
Credential ID 376009
Credential Number CSP.0035363
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 108 Scoville Road
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-07-22
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
703748 2.009296 Dentist 2004-05-12 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 108 SCOVILLE ROAD
City AVON
State CT
Zip Code 06001

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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