JEANETTE GUZMAN
Controlled Substance Registration for Practitioner


Address: 180 Maujer St Apt 3, Brooklyn, NY 11206-1349

JEANETTE GUZMAN (Credential# 1157344) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 3, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JEANETTE GUZMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054489. The credential type is controlled substance registration for practitioner. The effective date is September 3, 2013. The expiration date is February 28, 2015. The business address is 180 Maujer St Apt 3, Brooklyn, NY 11206-1349. The current status is inactive.

Basic Information

Licensee Name JEANETTE GUZMAN
Credential ID 1157344
Credential Number CSP.0054489
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 180 Maujer St Apt 3
Brooklyn
NY 11206-1349
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-09-03
Effective Date 2013-09-03
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1156852 1.052373 Physician/Surgeon 2013-09-03 2013-09-03 - 2014-09-30 INACTIVE

Office Location

Street Address 180 MAUJER ST APT 3
City BROOKLYN
State NY
Zip Code 11206-1349

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Competitor

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City BROOKLYN
Zip Code 11206
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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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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