GEETHANJALI BANDLA
Controlled Substance Registration for Practitioner


Address: 26 Belden Ave Unit 2125, Norwalk, CT 06850

GEETHANJALI BANDLA (Credential# 1203115) 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

GEETHANJALI BANDLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056619. 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 26 Belden Ave Unit 2125, Norwalk, CT 06850. The current status is lapsed.

Basic Information

Licensee Name GEETHANJALI BANDLA
Credential ID 1203115
Credential Number CSP.0056619
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Belden Ave Unit 2125
Norwalk
CT 06850
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-01-23
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
1168320 1.052285 Physician/Surgeon 2013-07-26 2017-05-01 - 2018-04-30 INACTIVE

Office Location

Street Address 26 Belden Ave unit 2125
City Norwalk
State CT
Zip Code 06850

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Competitor

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City Norwalk
Zip Code 06850
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Norwalk

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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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