ANGELINA GAVEL-RUKHA
Controlled Substance Registration for Practitioner


Address: 63 Regency Park Dr, Agawam, MA 01001-2252

ANGELINA GAVEL-RUKHA (Credential# 1675639) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 15, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ANGELINA GAVEL-RUKHA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071921. The credential type is controlled substance registration for practitioner. The effective date is July 15, 2019. The expiration date is February 28, 2021. The business address is 63 Regency Park Dr, Agawam, MA 01001-2252. The current status is active.

Basic Information

Licensee Name ANGELINA GAVEL-RUKHA
Credential ID 1675639
Credential Number CSP.0071921
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 63 Regency Park Dr
Agawam
MA 01001-2252
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-15
Effective Date 2019-07-15
Expiration Date 2021-02-28
Refresh Date 2019-09-12

Other licenses

ID Credential Code Credential Type Issue Term Status
1668383 3.003115 Optometrist 2019-07-13 2019-07-13 - 2020-07-31 ACTIVE

Office Location

Street Address 63 REGENCY PARK DR
City AGAWAM
State MA
Zip Code 01001-2252

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Competitor

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City AGAWAM
Zip Code 01001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AGAWAM

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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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