NIDA GARCIA SORIANO-BARTOLOME
Controlled Substance Registration for Practitioner


Address: 176 Storer Ave, New Rochelle, NY 10801-3134

NIDA GARCIA SORIANO-BARTOLOME (Credential# 1501255) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2018. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

NIDA GARCIA SORIANO-BARTOLOME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067676. The credential type is controlled substance registration for practitioner. The effective date is March 28, 2018. The expiration date is February 28, 2019. The business address is 176 Storer Ave, New Rochelle, NY 10801-3134. The current status is lapsed.

Basic Information

Licensee Name NIDA GARCIA SORIANO-BARTOLOME
Credential ID 1501255
Credential Number CSP.0067676
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 176 Storer Ave
New Rochelle
NY 10801-3134
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2018-03-28
Effective Date 2018-03-28
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1487270 2.012127 Dentist 2018-03-02 2018-03-02 - 2018-08-31 INACTIVE

Office Location

Street Address 176 STORER AVE
City NEW ROCHELLE
State NY
Zip Code 10801-3134

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Competitor

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City NEW ROCHELLE
Zip Code 10801
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW ROCHELLE

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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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