JOAQUIN Q CAMARA-QUINTANA
Controlled Substance Registration for Practitioner


Address: 101 South Huntington Ave, Jamaica Plain, MA 02130

JOAQUIN Q CAMARA-QUINTANA (Credential# 1076720) 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 INACTIVE.

Business Overview

JOAQUIN Q CAMARA-QUINTANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052682. 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 101 South Huntington Ave, Jamaica Plain, MA 02130. The current status is inactive.

Basic Information

Licensee Name JOAQUIN Q CAMARA-QUINTANA
Credential ID 1076720
Credential Number CSP.0052682
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 South Huntington Ave
Jamaica Plain
MA 02130
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2012-07-13
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1491558 1.059293-RES Resident Physician 2017-07-01 2018-07-01 - 2019-06-30 INACTIVE

Office Location

Street Address 101 South Huntington Ave
City Jamaica Plain
State MA
Zip Code 02130

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Competitor

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City Jamaica Plain
Zip Code 02130
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Jamaica Plain

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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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