ERLEINE F BAUTISTA
Controlled Substance Registration for Practitioner


Address: 30 Crosby St Apt 410, Danbury, CT 06810-5163

ERLEINE F BAUTISTA (Credential# 1042655) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is INACTIVE.

Business Overview

ERLEINE F BAUTISTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051742. The credential type is controlled substance registration for practitioner. The business address is 30 Crosby St Apt 410, Danbury, CT 06810-5163. The current status is inactive.

Basic Information

Licensee Name ERLEINE F BAUTISTA
Credential ID 1042655
Credential Number CSP.0051742
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Crosby St Apt 410
Danbury
CT 06810-5163
Business Type INDIVIDUAL
Status INACTIVE
Refresh Date 2015-06-19

Office Location

Street Address 30 CROSBY ST APT 410
City DANBURY
State CT
Zip Code 06810-5163

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Dennis N Alibangbang 30 Crosby St Apt 320, Danbury, CT 06810-5163 Physical Therapist 2018-11-01 ~ 2019-10-31
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Competitor

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City DANBURY
Zip Code 06810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY

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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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