JESSICA JUHEE KIM-VAGHELA
Controlled Substance Registration for Practitioner


Address: 72 Akbar Rd, Stamford, CT 06902-1402

JESSICA JUHEE KIM-VAGHELA (Credential# 1495823) 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.

Business Overview

JESSICA JUHEE KIM-VAGHELA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067542. 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 72 Akbar Rd, Stamford, CT 06902-1402. The current status is active.

Basic Information

Licensee Name JESSICA JUHEE KIM-VAGHELA
Credential ID 1495823
Credential Number CSP.0067542
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 72 Akbar Rd
Stamford
CT 06902-1402
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-03-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1461307 1.060083 Physician/Surgeon 2018-02-28 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 72 AKBAR RD
City STAMFORD
State CT
Zip Code 06902-1402

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Licensee Name Office Address Credential Effective / Expiration
Janet E Hilton 90 Akbar Rd, Stamford, CT 06902-1402 Registered Nurse 2012-10-01 ~ 2013-10-31

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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