ARCHANA PURUSHOTHAMAN
Controlled Substance Registration for Practitioner


Address: 12 Park Place, Hartford, CT 06106

ARCHANA PURUSHOTHAMAN (Credential# 892164) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

ARCHANA PURUSHOTHAMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046398. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 12 Park Place, Hartford, CT 06106. The current status is lapsed.

Basic Information

Licensee Name ARCHANA PURUSHOTHAMAN
Credential ID 892164
Credential Number CSP.0046398
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Park Place
Hartford
CT 06106
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2009-08-28
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1073548 1.051077 Physician/Surgeon 2012-06-26 2016-07-01 - 2017-06-30 INACTIVE

Office Location

Street Address 12 PARK PLACE
City HARTFORD
State CT
Zip Code 06106

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Jose B. Jiminian · Danny's Market Grocery Store 33 Park Street, Hartford, CT 06106 Grocery Beer 2020-08-01 ~ 2021-07-31
Alice G Nieto 29 Kelsey Street, Hartford, CT 06106 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City HARTFORD
Zip Code 06106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD

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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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