KETEVAN KIGURADZE DDS (Credential# 536094) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 18, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KETEVAN KIGURADZE DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045683. The credential type is controlled substance registration for practitioner. The effective date is March 18, 2019. The expiration date is February 28, 2021. The business address is 106 Noroton Ave, Darien, CT 06820. The current status is active.
| Licensee Name | KETEVAN KIGURADZE DDS |
| Credential ID | 536094 |
| Credential Number | CSP.0045683 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
106 Noroton Ave Darien CT 06820 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-06-24 |
| Effective Date | 2019-03-18 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 704081 | 2.009629 | Dentist | 2006-07-18 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 106 Noroton Ave |
| City | Darien |
| State | CT |
| Zip Code | 06820 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Surekha Shenoy | 106 Noroton Ave, Darien, CT 06820-5237 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joseph D Miceli | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| John M Dubaz | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George V Tsimoyianis | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Denis A Bouboulis | 106 Noroton Ave, Darien, CT 06820-5237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael N Suchenski Md | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Paul J Gallo | 106 Noroton Ave, Darien, CT 06820 | Dentist | 2012-06-01 ~ 2013-05-31 |
| Richard J Saverine Dds | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Raymond L Kotch | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisbeth Alexandra Gutierrez | 13 Casper Street, Danbury, CT 06820 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Sonia L Morales | Po Box 2351, Darien, CT 06820 | Master's Level Social Worker | ~ |
| Belle Stobbie | 1 Salt Box Lane, Darien, CT 06820 | Registered Nurse | 2020-06-26 ~ 2021-02-28 |
| Jessica Stygares | 110 Hecker Avenue, Darien, CT 06820 | Speech and Language Pathologist | ~ |
| John M Neary | 31 Hoyt St, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin D Gray | 5 Old Stone Rd, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lindsay G Westbrook | 11 Oakshade Ave, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Darien Two Inc | 967 Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Darien Seafood Mkt Inc · Frate & Burt Seafood | 1941 Post Rd, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Bertucci's | 54 Boston Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06820 | |||
| City | Darien |
| Zip Code | 06820 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Darien |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ketevan N Gvalia | 170 W. Polk St. Apt. 1007, Chicago, IL 60605 | Controlled Substance Registration for Practitioner | ~ |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Kaushik Roy | Apt A2, Farmington, CT 06032-1249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).