SAJAN K EAPEN
Controlled Substance Registration for Practitioner


Address: 5 Mill Rd, Plainville, CT 06062-1566

SAJAN K EAPEN (Credential# 1044360) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

SAJAN K EAPEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051791. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 5 Mill Rd, Plainville, CT 06062-1566. The current status is inactive.

Basic Information

Licensee Name SAJAN K EAPEN
Credential ID 1044360
Credential Number CSP.0051791
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Mill Rd
Plainville
CT 06062-1566
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-12-14
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1004990 1.050460 Physician/Surgeon 2011-12-01 2014-01-01 - 2014-12-31 INACTIVE

Office Location

Street Address 5 MILL RD
City PLAINVILLE
State CT
Zip Code 06062-1566

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Competitor

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City PLAINVILLE
Zip Code 06062
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PLAINVILLE

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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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