TAGHOGHO AGARIN (Credential# 1171455) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TAGHOGHO AGARIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055180. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2121 Cambridge Dr, West Plains, MO 65775. The current status is active.
| Licensee Name | TAGHOGHO AGARIN |
| Credential ID | 1171455 |
| Credential Number | CSP.0055180 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2121 Cambridge Dr West Plains MO 65775 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1161232 | 1.052112 | Physician/Surgeon | 2013-06-19 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 2121 Cambridge Dr |
| City | West Plains |
| State | MO |
| Zip Code | 65775 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebekah Michelle Brockelbank | 5611 County Road 9420, West Plains, MO 65775 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Michael A Ball | 601 Sierra Drive, West Plains, MO 65775 | Fire Protection Unlimited Journeyperson | 2019-11-03 ~ 2020-10-31 |
| Michael J Demuria | 5522 Private Road 8072, West Plains, MO 65775 | Perfusionist | 2008-07-01 ~ 2009-07-31 |
| Savanna Johnson | 902 W Broadway St # 311, West Plains, MO 65775-2373 | Licensed Practical Nurse | 2018-10-01 ~ 2019-09-30 |
| Corrie A Cast | 613 Shuttee St, West Plains, MO 65775-2907 | Registered Nurse | 2012-01-03 ~ 2013-01-31 |
| Adrienne N. Waterson | 8677 County Road 6890, West Plains, MO 65775-5166 | Registered Nurse | 2014-10-14 ~ 2015-03-31 |
| City | West Plains |
| Zip Code | 65775 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Plains |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Kim M Vo | 228 Hamilton St, Meriden, CT 06451-3815 | Controlled Substance Registration for Practitioner | 2018-12-19 ~ 2021-02-28 |
| May Chaaban | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2016-08-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on TAGHOGHO AGARIN.
| 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).