UMA VINAYAGASUNDARAM
Controlled Substance Registration for Practitioner


Address: 24 Audobon St, Medford, NY 11763-1578

UMA VINAYAGASUNDARAM (Credential# 1233706) 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

UMA VINAYAGASUNDARAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058026. 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 24 Audobon St, Medford, NY 11763-1578. The current status is lapsed.

Basic Information

Licensee Name UMA VINAYAGASUNDARAM
Credential ID 1233706
Credential Number CSP.0058026
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 24 Audobon St
Medford
NY 11763-1578
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-08-27
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 24 AUDOBON ST
City MEDFORD
State NY
Zip Code 11763-1578

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Jeremy D Stoll 2002 Wave Ave, Milford, NY 11763 Home Improvement Salesperson 2000-12-12 ~ 2001-11-30
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Cynthia D Bailey 12 Florida Ave, Medford, NY 11763 Real Estate Salesperson 2004-01-14 ~ 2004-05-31
Allen Roger Washington 1118 Bedford, Medford, NY 11763 Master's Level Social Worker 2016-01-01 ~ 2016-12-31
Sharon A Thumm 1839 Route 112, Medford, NY 11763 Hairdresser/cosmetician 2010-04-01 ~ 2012-03-31
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Competitor

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City MEDFORD
Zip Code 11763
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MEDFORD

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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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