DIVYASWAPNIKA JAVVAJI
Controlled Substance Registration for Practitioner


Address: 40 Avalon Drive Apt 6131, Milford, CT 06460

DIVYASWAPNIKA JAVVAJI (Credential# 1372291) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

DIVYASWAPNIKA JAVVAJI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063818. The credential type is controlled substance registration for practitioner. The effective date is March 28, 2017. The expiration date is February 28, 2019. The business address is 40 Avalon Drive Apt 6131, Milford, CT 06460. The current status is lapsed.

Basic Information

Licensee Name DIVYASWAPNIKA JAVVAJI
Credential ID 1372291
Credential Number CSP.0063818
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 40 Avalon Drive Apt 6131
Milford
CT 06460
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-08-15
Effective Date 2017-03-28
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 40 AVALON DRIVE APT 6131
City MILFORD
State CT
Zip Code 06460

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Competitor

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City MILFORD
Zip Code 06460
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILFORD

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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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