JOSE A CASTIBLANCO (Credential# 1300560) 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.
JOSE A CASTIBLANCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061018. 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 4 Brook Ln, Rye Brook, NY 10573-1310. The current status is active.
| Licensee Name | JOSE A CASTIBLANCO |
| Credential ID | 1300560 |
| Credential Number | CSP.0061018 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Brook Ln Rye Brook NY 10573-1310 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1281636 | 19.000930 | Podiatrist | 2015-07-16 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 4 BROOK LN |
| City | RYE BROOK |
| State | NY |
| Zip Code | 10573-1310 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Cristina Perez | 10 Nella Lane, Port Chester, NY 10573 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Santander Contracting LLC | 304 Locust Ave, Port Chester, NY 10573 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Starlyn Adames | 65 1/2 Poningo St, Port Chester, NY 10573 | Occupational Therapist | ~ |
| Juliana C Alzate | 140 Grace Church St, Port Chester, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Editha M Comia | 480 King St, Port Chester, NY 10573 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl P Lopez | 14 Fawcett Street, Port Chester, NY 10573 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Madeline X Cole-short | 40 Quintard Dr., Port Chester, NY 10573 | Emergency Medical Responder | ~ |
| Helene A Kimmons | 9 Burdsall Drive, Port Chester, NY 10573 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leukemia & Lymphoma Society Inc | 3 International Drive, Rye Brook, NY 10573 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Robert M Tramontano | 80 Doral Greens Drive West, Rye Brook, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10573 | |||
| City | RYE BROOK |
| Zip Code | 10573 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RYE BROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandra R Castiblanco-esmanech · Castiblanco | 3516 Blanchette Way, Rancho Cordova, CA 95670 | Dental Hygienist | 1997-08-12 ~ 1998-10-31 |
| Jose M Mullen Md | Po Box 387, Colchester, CT 06415 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Soni Jose | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2009-03-12 ~ 2011-02-28 |
| Jose E Santoro | 50 Alden Av, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jose Azocar | 330 Main St Ste 101, Hartford, CT 06106-1860 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose R Villaluz Jr | 548 Willow St, Waterbury, CT 06710 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jose A Estela Md | 94 Bellevue Ave, Bristol, CT 06010-5816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose R Arias | 658 Grand St 3b, Brooklyn, NY 11211 | Controlled Substance Registration for Practitioner | 2009-08-28 ~ 2011-02-28 |
| Jose Ruades | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Jose D Rosa Do | 644 Riverside Dr Apt 11d, New York, NY 10031-6931 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).