NANCY GEORGEKUTTY MD
Controlled Substance Registration for Practitioner


Address: 3820 Winding Forest Dr, Grand Prairie, TX 75052-6682

NANCY GEORGEKUTTY MD (Credential# 499734) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

NANCY GEORGEKUTTY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043347. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 3820 Winding Forest Dr, Grand Prairie, TX 75052-6682. The current status is inactive.

Basic Information

Licensee Name NANCY GEORGEKUTTY MD
Credential ID 499734
Credential Number CSP.0043347
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3820 Winding Forest Dr
Grand Prairie
TX 75052-6682
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-04-16
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
563860 1.046278 Physician/Surgeon 2008-03-05 2008-05-19 - 2009-07-31 INACTIVE

Office Location

Street Address 3820 WINDING FOREST DR
City GRAND PRAIRIE
State TX
Zip Code 75052-6682

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Eileen R Aguas 4308 Saugus Dr, Grand Prairie, TX 75052 Registered Nurse 2006-10-19 ~ 2007-10-31
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Christopher Alfonso Gonzalez 1301 California Trl, Grand Prairie, TX 75052-2075 Certified Public Accountant License 2017-05-11 ~ 2017-12-31
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Competitor

Search similar business entities

City GRAND PRAIRIE
Zip Code 75052
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GRAND PRAIRIE

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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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