VIDYA DEVARAJAN MD
Controlled Substance Registration for Practitioner


Address: 33 Whitman St, Bergenfield, NJ 07621

VIDYA DEVARAJAN MD (Credential# 163857) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

VIDYA DEVARAJAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022168. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 33 Whitman St, Bergenfield, NJ 07621. The current status is inactive.

Basic Information

Licensee Name VIDYA DEVARAJAN MD
Credential ID 163857
Credential Number CSP.0022168
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 33 Whitman St
Bergenfield
NJ 07621
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
551348 1.033749 Physician/Surgeon 1994-05-27 1998-10-07 - 1999-10-31 INACTIVE

Office Location

Street Address 33 WHITMAN ST
City BERGENFIELD
State NJ
Zip Code 07621

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Scott Chudnoff 100 Highgate Terrace, Bergenfield, NJ 07621 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Jeffrey H Smilow 50 Regent St, Bergenfield, NJ 07621 Professional Engineer 2018-03-06 ~ 2019-01-31
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Muriel Gawlik 33 Tuscarora Street, Bergenfield, NJ 07621 Notary Public Appointment 2009-07-01 ~ 2014-06-30
Rainier Saliente 35 Arlington Ave, Bergenfield, NJ 07621 Physical Therapist 2019-10-08 ~ 2020-10-31
Stacie L Morvay 251 Hickory Ave, Bergenfield, NJ 07621 Registered Nurse 2019-12-01 ~ 2020-11-30
Lea Angela S Lamorena 16 Terrace St., Bergenfield, NJ 07621 Registered Nurse 2019-08-01 ~ 2020-07-31
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Competitor

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City BERGENFIELD
Zip Code 07621
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BERGENFIELD

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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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