MARIA V VALLEJOS
Controlled Substance Registration for Practitioner


Address: 141 Brace Rd, West Hartford, CT 06107-1804

MARIA V VALLEJOS (Credential# 1301859) 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

MARIA V VALLEJOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061127. 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 141 Brace Rd, West Hartford, CT 06107-1804. The current status is lapsed.

Basic Information

Licensee Name MARIA V VALLEJOS
Credential ID 1301859
Credential Number CSP.0061127
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 141 Brace Rd
West Hartford
CT 06107-1804
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-07-28
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
1488202 2.012079-RES Resident Dentist 2015-07-01 2015-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 141 BRACE RD
City WEST HARTFORD
State CT
Zip Code 06107-1804

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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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