MANA AZADEGAN
Pharmacist


Address: 410 Acoma St Unit 413, Denver, CO 80204-5165

MANA AZADEGAN (Credential# 1156323) is licensed (Pharmacist) with Connecticut Department of Consumer Protection. The license effective date is August 28, 2013. The license expiration date date is January 31, 2016. The license status is INACTIVE.

Business Overview

MANA AZADEGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCT.0012585. The credential type is pharmacist. The effective date is August 28, 2013. The expiration date is January 31, 2016. The business address is 410 Acoma St Unit 413, Denver, CO 80204-5165. The current status is inactive.

Basic Information

Licensee Name MANA AZADEGAN
Credential ID 1156323
Credential Number PCT.0012585
Credential Type PHARMACIST
Business Address 410 Acoma St Unit 413
Denver
CO 80204-5165
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-08-28
Effective Date 2013-08-28
Expiration Date 2016-01-31
Refresh Date 2016-12-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1175942 PTP.0000405 TEMPORARY PERMIT TO PRACTICE PHARMACY 2013-07-25 2013-07-25 - 2013-11-01 INACTIVE

Office Location

Street Address 410 ACOMA ST UNIT 413
City DENVER
State CO
Zip Code 80204-5165

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Licensee Name Office Address Credential Effective / Expiration
Melissa A Miller 410 Acoma St Unit 412, Denver, CO 80204-5165 Registered Nurse - Temporary 2009-09-09 ~ 2010-01-07

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Competitor

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City DENVER
Zip Code 80204
License Type PHARMACIST
License Type + County PHARMACIST + DENVER

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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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