AMUTHA RAGURAM
Controlled Substance Registration for Practitioner


Address: 13 Brookside Dr, Darien, CT 06820-5004

AMUTHA RAGURAM (Credential# 979604) 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

AMUTHA RAGURAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049476. 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 13 Brookside Dr, Darien, CT 06820-5004. The current status is active.

Basic Information

Licensee Name AMUTHA RAGURAM
Credential ID 979604
Credential Number CSP.0049476
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 13 Brookside Dr
Darien
CT 06820-5004
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-12-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
893336 2.010125 Dentist 2009-09-22 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 13 BROOKSIDE DR
City DARIEN
State CT
Zip Code 06820-5004

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Licensee Name Office Address Credential Effective / Expiration
Rebecca Liu 5 Brookside Dr, Darien, CT 06820-5004 Emergency Medical Technician 2014-02-03 ~ 2016-07-01

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Competitor

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City DARIEN
Zip Code 06820
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN

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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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