NIKOLAS G KRISHNA
Controlled Substance Registration for Practitioner


Address: 74 Dover Rd, West Hartford, CT 06119-1210

NIKOLAS G KRISHNA (Credential# 1130574) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

NIKOLAS G KRISHNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053954. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 74 Dover Rd, West Hartford, CT 06119-1210. The current status is lapsed.

Basic Information

Licensee Name NIKOLAS G KRISHNA
Credential ID 1130574
Credential Number CSP.0053954
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 74 Dover Rd
West Hartford
CT 06119-1210
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2012-11-07
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1075378 1.051230 Physician/Surgeon 2012-07-23 2017-02-01 - 2018-01-31 INACTIVE

Office Location

Street Address 74 DOVER RD
City WEST HARTFORD
State CT
Zip Code 06119-1210

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Licensee Name Office Address Credential Effective / Expiration
Richard A Paulis 56 Dover Rd, West Hartford, CT 06119-1210 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28

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Competitor

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City WEST HARTFORD
Zip Code 06119
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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