INDIRA PANTHAGANI
Physician/surgeon


Address: 10 Southgate, Avon, CT 06001-3195

INDIRA PANTHAGANI (Credential# 562332) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

INDIRA PANTHAGANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044750. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 10 Southgate, Avon, CT 06001-3195. The current status is active.

Basic Information

Licensee Name INDIRA PANTHAGANI
Credential ID 562332
Credential Number 1.044750
Credential Type Physician/Surgeon
Business Address 10 Southgate
Avon
CT 06001-3195
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-09-11
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-04

Other licenses

ID Credential Code Credential Type Issue Term Status
449940 CSP.0040588 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-09-13 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 10 SOUTHGATE
City AVON
State CT
Zip Code 06001-3195

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Christopher J Niemann 5 Southgate, Avon, CT 06001-3195 Pharmacist 2020-02-01 ~ 2022-01-31

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Brigitte Nicole Heleniak 16 Sunset Trail, Avon, CT 06001 Registered Nurse 2020-07-01 ~ 2021-06-30
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Elizabeth Stockwell 44 Applewood Lane, Avon, CT 06001 Real Estate Salesperson ~
Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
Meiling Chen Avon Nail 315 W Main Street, Avon, CT 06001 Nail Technician ~
Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
Michele L Sweitzer 12 Bluestone Lane, Avon, CT 06001 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Christine Burns 102 New Road, Avon, CT 06001 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Physician/Surgeon
License Type + County Physician/Surgeon + AVON

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Indira Santoro 151 Highridge Rd, Avon, CT 06001-3257 Pharmacist 2020-02-01 ~ 2022-01-31
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Indira A Wong 80 Sheffield Dr, Stratford, CT 06614-2353 Registered Nurse 2020-02-01 ~ 2021-01-31
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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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