PETER A S WAWRO MD
Controlled Substance Registration for Practitioner


Address: 801 N Tustin Ave #305, Santa Ana, CA 92705

PETER A S WAWRO MD (Credential# 150256) 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

PETER A S WAWRO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009784. 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 801 N Tustin Ave #305, Santa Ana, CA 92705. The current status is lapsed.

Basic Information

Licensee Name PETER A S WAWRO MD
Credential ID 150256
Credential Number CSP.0009784
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 801 N Tustin Ave #305
Santa Ana
CA 92705
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-01
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
544150 1.022499 Physician/Surgeon 1980-11-03 2017-06-01 - 2018-05-31 INACTIVE

Office Location

Street Address 801 N TUSTIN AVE #305
City SANTA ANA
State CA
Zip Code 92705

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Disabled Firefighters Fund 2521 N Grand Ave., Suite D, Santa Ana, CA 92705 Public Charity 2008-06-01 ~ 2009-05-31
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Proven Pharmaceuticals LLC 1790 E Mcfadden Ave #107, Santa Ana, CA 92705 Wholesaler of Drugs, Cosmetics & Medical Devices 2013-07-01 ~ 2014-06-30
Steven W Langford 2912 Daimler St, Santa Ana, CA 92705 Architect 2009-08-14 ~ 2010-07-31
Gerald Herter 9682 Norfolk Drive, Santa Ana, CA 92705 Certified Public Accountant License 2005-01-01 ~ 2005-12-31
Rosemary L Taylor 2030 E Kemper Ave, Santa Ana, CA 92705 Registered Nurse 2009-12-01 ~ 2010-11-30
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Competitor

Search similar business entities

City SANTA ANA
Zip Code 92705
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SANTA ANA

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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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