ATHANASIUS A ANAGNOSTOU MD
Controlled Substance Registration for Practitioner


Address: 112 Moffat Rd, Waban, MA 02468

ATHANASIUS A ANAGNOSTOU MD (Credential# 312261) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

ATHANASIUS A ANAGNOSTOU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032205. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2004. The expiration date is February 28, 2005. The business address is 112 Moffat Rd, Waban, MA 02468. The current status is inactive.

Basic Information

Licensee Name ATHANASIUS A ANAGNOSTOU MD
Credential ID 312261
Credential Number CSP.0032205
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 112 Moffat Rd
Waban
MA 02468
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-03-01
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557964 1.040381 Physician/Surgeon 2002-05-01 2003-04-07 - 2004-04-30 INACTIVE

Office Location

Street Address 112 MOFFAT RD
City WABAN
State MA
Zip Code 02468

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Charles S Fuchs 70 White Oak Road, Newton, MA 02468 Physician/surgeon 2020-05-01 ~ 2021-04-30
Jesse L Beaver 172 Winslow Road, Newton, MA 02468 Professional Engineer 2020-02-01 ~ 2021-01-31
Warren R Schwartz 89 Dorset Rd, Newton, MA 02468 Architect 2019-08-01 ~ 2020-07-31
Adam B Landman Md 203 Winslow Road, Waban, MA 02468 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Margaret Rose Whalen 191 Winslow, Waban, MA 02468 Registered Nurse 2019-03-01 ~ 2020-02-29
Hilary Aviela Lerner 196 Windsor Road, Waban, MA 02468 Registered Nurse 2017-03-01 ~ 2018-02-28
Frank O Elliott 38 Norfolk Rd, Arlington, MA 02468 Architect 2015-08-03 ~ 2016-07-31
Philip B Plottel 50 Roslyn Rd, Waban, MA 02468 Professional Engineer 2003-02-01 ~ 2004-01-31
Mark S Amster 70 Collins Rd, Waban, MA 02468 Physician/surgeon 2013-05-01 ~ 2014-04-30
Steven M Yood Md 53 Fenwick Rd, Newton, MA 02468 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Find all Licenses in zip 02468

Competitor

Search similar business entities

City WABAN
Zip Code 02468
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WABAN

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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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