KAVITHA SRINIVASAN MD
Controlled Substance Registration for Practitioner


Address: 200 Blakeslee St Apt 85, Bristol, CT 06010-6399

KAVITHA SRINIVASAN MD (Credential# 924141) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

KAVITHA SRINIVASAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047491. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 200 Blakeslee St Apt 85, Bristol, CT 06010-6399. The current status is inactive.

Basic Information

Licensee Name KAVITHA SRINIVASAN MD
Credential ID 924141
Credential Number CSP.0047491
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 200 Blakeslee St Apt 85
Bristol
CT 06010-6399
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-04-16
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
913146 1.048627 Physician/Surgeon 2010-04-05 2011-07-01 - 2012-06-30 INACTIVE

Office Location

Street Address 200 BLAKESLEE ST APT 85
City BRISTOL
State CT
Zip Code 06010-6399

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Competitor

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City BRISTOL
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL

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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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