NNENNA N AGUOCHA
Controlled Substance Registration for Practitioner


Address: 1186 Lavista Cir Ne, Atlanta, GA 30324-3734

NNENNA N AGUOCHA (Credential# 1249705) 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

NNENNA N AGUOCHA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058862. 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 1186 Lavista Cir Ne, Atlanta, GA 30324-3734. The current status is lapsed.

Basic Information

Licensee Name NNENNA N AGUOCHA
Credential ID 1249705
Credential Number CSP.0058862
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1186 Lavista Cir Ne
Atlanta
GA 30324-3734
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-11-12
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
1223359 1.053177 Physician/Surgeon 2014-06-19 2017-03-01 - 2018-02-28 INACTIVE

Office Location

Street Address 1186 LAVISTA CIR NE
City ATLANTA
State GA
Zip Code 30324-3734

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Competitor

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City ATLANTA
Zip Code 30324
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ATLANTA

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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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