CECILIO M VERGEL DE DIOS MD
Controlled Substance Registration for Practitioner


Address: 287 N Poverty Rd, Southbury, CT 06488-1573

CECILIO M VERGEL DE DIOS MD (Credential# 153078) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

CECILIO M VERGEL DE DIOS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013047. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 287 N Poverty Rd, Southbury, CT 06488-1573. The current status is inactive.

Basic Information

Licensee Name CECILIO M VERGEL DE DIOS MD
Credential ID 153078
Credential Number CSP.0013047
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 287 N Poverty Rd
Southbury
CT 06488-1573
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
545447 1.025383 Physician/Surgeon 1984-04-04 2012-12-01 - 2013-11-30 INACTIVE

Office Location

Street Address 287 N POVERTY RD
City SOUTHBURY
State CT
Zip Code 06488-1573

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City SOUTHBURY
Zip Code 06488
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY

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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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