CHRISTINA J WAI
Controlled Substance Registration for Practitioner


Address: 1021 S Ridgeley Dr, Los Angeles, CA 90019-2508

CHRISTINA J WAI (Credential# 1166249) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

CHRISTINA J WAI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054756. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 1021 S Ridgeley Dr, Los Angeles, CA 90019-2508. The current status is lapsed.

Basic Information

Licensee Name CHRISTINA J WAI
Credential ID 1166249
Credential Number CSP.0054756
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1021 S Ridgeley Dr
Los Angeles
CA 90019-2508
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-08-12
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1166307 1.052326 Physician/Surgeon 2013-08-09 2017-09-01 - 2018-08-31 INACTIVE

Office Location

Street Address 1021 S RIDGELEY DR
City LOS ANGELES
State CA
Zip Code 90019-2508

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Competitor

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City LOS ANGELES
Zip Code 90019
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LOS ANGELES

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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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