GUIDO E SANTACANA-LAFFITTE
Controlled Substance Registration for Practitioner


Address: 4221 Timber Meadow Dr, Fairfax, VA 22030-8537

GUIDO E SANTACANA-LAFFITTE (Credential# 1342768) 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

GUIDO E SANTACANA-LAFFITTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062351. 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 4221 Timber Meadow Dr, Fairfax, VA 22030-8537. The current status is lapsed.

Basic Information

Licensee Name GUIDO E SANTACANA-LAFFITTE
Credential ID 1342768
Credential Number CSP.0062351
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4221 Timber Meadow Dr
Fairfax
VA 22030-8537
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-06-16
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
1334354 1.055343 Physician/Surgeon 2016-06-15 2017-02-01 - 2018-01-31 INACTIVE

Office Location

Street Address 4221 TIMBER MEADOW DR
City FAIRFAX
State VA
Zip Code 22030-8537

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Competitor

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City FAIRFAX
Zip Code 22030
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFAX

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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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