CLAUDIA CASTIBLANCO
Physician/surgeon


Address: 597 Westport Avenue, Apt. A319, Norwalk, CT 06851

CLAUDIA CASTIBLANCO (Credential# 1164403) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.

Business Overview

CLAUDIA CASTIBLANCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052301. The credential type is physician/surgeon. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 597 Westport Avenue, Apt. A319, Norwalk, CT 06851. The current status is inactive.

Basic Information

Licensee Name CLAUDIA CASTIBLANCO
Credential ID 1164403
Credential Number 1.052301
Credential Type Physician/Surgeon
Business Address 597 Westport Avenue, Apt. A319
Norwalk
CT 06851
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-08-01
Effective Date 2016-09-01
Expiration Date 2017-08-31
Refresh Date 2017-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1181799 CSP.0056009 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-08-28 2015-03-01 - 2017-02-28 INACTIVE
510472 CSP.0044162 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-08-28 2009-03-12 - 2011-02-28 INACTIVE
894909 CSP.0046570 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 597 Westport Avenue, Apt. A319
City Norwalk
State CT
Zip Code 06851

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Competitor

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City Norwalk
Zip Code 06851
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Norwalk

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Claudia B Spaulding Md 805 East Johnson Ave, Cheshire, CT 06410 Physician/surgeon 2012-08-01 ~ 2013-07-31
Claudia L Recavarren 313 East 89th St, Apt 4a, New York, NY 10128 Physician/surgeon 2008-12-01 ~ 2009-12-31
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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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