HENRY P CHICAIZA
Controlled Substance Registration for Practitioner


Address: 11 Quail Run Rd, Suffield, CT 06078-1802

HENRY P CHICAIZA (Credential# 1144824) 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

HENRY P CHICAIZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054125. 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 11 Quail Run Rd, Suffield, CT 06078-1802. The current status is active.

Basic Information

Licensee Name HENRY P CHICAIZA
Credential ID 1144824
Credential Number CSP.0054125
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Quail Run Rd
Suffield
CT 06078-1802
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-01-15
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-08

Other licenses

ID Credential Code Credential Type Issue Term Status
1134501 1.051556 Physician/Surgeon 2012-12-24 2019-09-01 - 2020-08-31 ACTIVE
1024529 CSP.0050869 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-08-10 2011-08-10 - 2013-02-28 INACTIVE

Office Location

Street Address 11 QUAIL RUN RD
City SUFFIELD
State CT
Zip Code 06078-1802

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Competitor

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City SUFFIELD
Zip Code 06078
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUFFIELD

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Henry Lee 96 Belridge Road, Cheshire, CT 06410 Controlled Substance Registration for Practitioner 2013-03-15 ~ 2015-02-28
Henry F Crabbe Md 5 Shaws Cv Ste 207, New London, CT 06320-4974 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Henry S Park 52 Churchill Rd, Hamden, CT 06517-1414 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Henry W Juan Jr 14 Lafayette Ct, Greenwich, CT 06830 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
Henry Chow 40 Prospect Ave, Norwalk, CT 06850 Controlled Substance Registration for Practitioner 2015-07-02 ~ 2017-02-28
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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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