BALAJI P ATHREYA
Controlled Substance Registration for Practitioner


Address: 100 Wason Ave., Springfield, MA 01107

BALAJI P ATHREYA (Credential# 257554) 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

BALAJI P ATHREYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030377. 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 100 Wason Ave., Springfield, MA 01107. The current status is active.

Basic Information

Licensee Name BALAJI P ATHREYA
Credential ID 257554
Credential Number CSP.0030377
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 Wason Ave.
Springfield
MA 01107
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-12-18
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
556611 1.039023 Physician/Surgeon 2000-09-26 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 100 Wason Ave.
City SPRINGFIELD
State MA
Zip Code 01107

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lauren Elizabeth Marshall 945 Armory St, Springfield, MA 01107 Physician Assistant 2020-04-01 ~ 2021-03-31
Jennifer L Fish 367 Union Street, Springfield, MA 01107 Hairdresser/cosmetician ~
Joseph Pagan 59 Rowland Street, Springfield, MA 01107 Medication Administration Certification 2020-04-20 ~ 2022-04-19
Daniel Laguerre 382 Springfield St, Springfield, MA 01107 Crane Operator ~
Kamal Kant Kalia 2 Medical Center Drive, Springfield, MA 01107 Physician/surgeon 2020-03-01 ~ 2021-02-28
Bushee Enterprises LLC Po Box 1196, Southwick, MA 01107 Home Improvement Contractor 2015-12-01 ~ 2016-11-30
B Lopez 165 Prospect Street, Springfield, MA 01107 Notary Public Appointment 2011-10-01 ~ 2016-09-30
Beth C Mcinerny 260 Ware Road, Belchertown, MA 01107 Registered Nurse 2019-12-01 ~ 2020-11-30
Jorge Enrique Rivera 20 Narragansett Street, Springfield, MA 01107 Professional Counselor 2019-10-01 ~ 2020-09-30
Rachael Hynds-decoteau 22 Candice Cir, Springfield, MA 01107 Controlled Substance Registration for Practitioner 2019-09-19 ~ 2021-02-28
Find all Licenses in zip 01107

Competitor

Search similar business entities

City SPRINGFIELD
Zip Code 01107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD

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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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