ANNA DONGARI-BAGTZOGLOU DDS (Credential# 1400797) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANNA DONGARI-BAGTZOGLOU DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064695. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Uconn School of Dental Medicine, Farmington, CT 06030-1710. The current status is active.
Licensee Name | ANNA DONGARI-BAGTZOGLOU DDS |
Credential ID | 1400797 |
Credential Number | CSP.0064695 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Uconn School of Dental Medicine Farmington CT 06030-1710 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-02-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
703458 | 2.009006 | Dentist | 2002-03-26 | 2019-08-01 - 2020-07-31 | ACTIVE |
316319 | CSP.0032627 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | UCONN SCHOOL OF DENTAL MEDICINE |
City | FARMINGTON |
State | CT |
Zip Code | 06030-1710 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alan G Lurie | Uconn School of Dental Medicine, Farmington, CT 06030-1605 | Dentist | 2020-05-01 ~ 2021-04-30 |
Howard I Mark Dmd | Uconn School of Dental Medicine, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2011-03-25 ~ 2013-02-28 |
Peter J Robinson | Uconn School of Dental Medicine, Farmington, CT 06030-3915 | Dentist | 2010-06-01 ~ 2011-05-31 |
Kaesarin Rojanasomsith Dds | Uconn School of Dental Medicine, Farmington, CT 06030 | Dentist | 2007-06-29 ~ 2008-06-30 |
Jeffrey Bennett Dmd | Uconn School of Dental Medicine, Farmington, CT 06032 | Dentist | 2007-02-22 ~ 2008-02-29 |
Nancy Nie-shiuh Chang Dds | Uconn School of Dental Medicine, Farmington, CT 06032 | Dentist | 2006-11-02 ~ 2007-11-30 |
Birgit G Riep Dds | Uconn School of Dental Medicine, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frank C Nichols Dds | Uconn School of Dentistry, Farmington, CT 06030-1710 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Efthimia Ioannidou Dmd | 263 Farmington Ave, Farmington, CT 06030-1710 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maurizio Tonetti Dmd | Uconn Health Center, Farmington, CT 06030-1710 | Dentist | 2006-04-05 ~ 2007-05-31 |
Anthony Neely Dds | Univ of Ct Health Center, Farmington, CT 06030-1710 | Dentist | 1998-11-05 ~ 1999-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 06030 |
City | FARMINGTON |
Zip Code | 06030 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anna Eisenstein | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anna M Chisilenco | 67 Cherry St Ste C2, Milford, CT 06460-8904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anna Sharovetskaya | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2015-07-15 ~ 2017-02-28 |
Anna Manzotti | 263 Farmington Ave, Hartford, CT 06105-3440 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Anna C Mai Od | 50 Holy Family Rd Apt 317, Holyoke, MA 01040-2782 | Controlled Substance Registration for Practitioner | 2011-05-04 ~ 2013-02-28 |
Anna L Stevens | 177 Seneca Dr, Groton, CT 06340-5644 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anna Zak Dds | 1600 S East Rd, Farmington, CT 06032-2610 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Anna Gabrielian | 111 Osborne St, Danbury, CT 06810-6000 | Controlled Substance Registration for Practitioner | 2013-08-19 ~ 2015-02-28 |
Anna Ravin Dds | 155 Main St, Manchester, CT 06042-3126 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).