SANDRA E CORDOBA VARGAS
Controlled Substance Registration for Practitioner


Address: 35-38 Junction Blvd 6h Apt, Corona, NY 11368

SANDRA E CORDOBA VARGAS (Credential# 1067993) 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

SANDRA E CORDOBA VARGAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052343. 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 35-38 Junction Blvd 6h Apt, Corona, NY 11368. The current status is active.

Basic Information

Licensee Name SANDRA E CORDOBA VARGAS
Credential ID 1067993
Credential Number CSP.0052343
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 35-38 Junction Blvd 6h Apt
Corona
NY 11368
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-06-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1055876 1.051014 Physician/Surgeon 2012-06-07 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 35-38 Junction Blvd 6H apt
City Corona
State NY
Zip Code 11368

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Competitor

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City Corona
Zip Code 11368
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Corona

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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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