DEVAN L KANSAGARA MD
Controlled Substance Registration for Practitioner


Address: 13 Fairway Dr, Cheshire, CT 06410

DEVAN L KANSAGARA MD (Credential# 364929) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

DEVAN L KANSAGARA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034596. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 13 Fairway Dr, Cheshire, CT 06410. The current status is inactive.

Basic Information

Licensee Name DEVAN L KANSAGARA MD
Credential ID 364929
Credential Number CSP.0034596
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 13 Fairway Dr
Cheshire
CT 06410
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
559702 1.042120 Physician/Surgeon 2004-01-29 2005-01-11 - 2005-12-31 INACTIVE

Office Location

Street Address 13 FAIRWAY DR
City CHESHIRE
State CT
Zip Code 06410

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Competitor

Search similar business entities

City CHESHIRE
Zip Code 06410
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE

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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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