KARINA J VERGARA
Controlled Substance Registration for Practitioner


Address: 435 Willard Ave, Newington, CT 06111-2318

KARINA J VERGARA (Credential# 1364498) 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

KARINA J VERGARA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063406. 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 435 Willard Ave, Newington, CT 06111-2318. The current status is lapsed.

Basic Information

Licensee Name KARINA J VERGARA
Credential ID 1364498
Credential Number CSP.0063406
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 435 Willard Ave
Newington
CT 06111-2318
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-07-06
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
1348475 2.011603 Dentist 2016-05-11 2017-12-01 - 2018-11-30 INACTIVE
1234943 CSP.0058140 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-07-22 2014-07-22 - 2015-02-28 INACTIVE

Office Location

Street Address 435 WILLARD AVE
City NEWINGTON
State CT
Zip Code 06111-2318

Licenses in the same location

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Alexa R Veeder 435 Willard Ave, Newington, CT 06111 Chiropractor 2019-01-01 ~ 2019-12-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mitchel Strand Od 485 Willard Ave, Newington, CT 06111-2318 Optometrist 2020-06-01 ~ 2021-05-31
Craig A Stasulis 435 Willard Ave Unit D, Newington, CT 06111-2318 Physician/surgeon 2020-06-01 ~ 2021-05-31
Family Homecare Assistance LLC 445a Willard Ave, Newington, CT 06111-2318 Homemaker Companion Agency 2019-11-01 ~ 2020-10-31
Maria Y Romaniak-kumik Dds 485 Willard Ave Bldg 3, Newington, CT 06111-2318 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Willard Avenue Dialysis 445 Willard Ave Bldg 2, Newington, CT 06111-2318 Hemodialysis 2019-01-01 ~ 2020-12-31

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Competitor

Search similar business entities

City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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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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