SERGEY MAHTESYAN
Controlled Substance Registration for Practitioner


Address: 132 Walnut St, Watertown, MA 02472-4028

SERGEY MAHTESYAN (Credential# 1057453) 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

SERGEY MAHTESYAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052171. 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 132 Walnut St, Watertown, MA 02472-4028. The current status is inactive.

Basic Information

Licensee Name SERGEY MAHTESYAN
Credential ID 1057453
Credential Number CSP.0052171
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 132 Walnut St
Watertown
MA 02472-4028
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-03-27
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
1054264 2.010709 Dentist 2012-03-08 2012-07-01 - 2013-06-30 INACTIVE

Office Location

Street Address 132 WALNUT ST
City WATERTOWN
State MA
Zip Code 02472-4028

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Christopher A Walton 124 Watertown Street, Watertown, MA 02472 Professional Engineer 2019-02-01 ~ 2020-01-31
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Competitor

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City WATERTOWN
Zip Code 02472
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERTOWN

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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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