MICHAEL DOGALI
Controlled Substance Registration for Practitioner


Address: 1016 E. Balboa Blvd, Newport, CA 92661

MICHAEL DOGALI (Credential# 154953) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 3, 1994. The license expiration date date is June 1, 1996. The license status is INACTIVE.

Business Overview

MICHAEL DOGALI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014277. The credential type is controlled substance registration for practitioner. The effective date is June 3, 1994. The expiration date is June 1, 1996. The business address is 1016 E. Balboa Blvd, Newport, CA 92661. The current status is inactive.

Basic Information

Licensee Name MICHAEL DOGALI
Credential ID 154953
Credential Number CSP.0014277
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1016 E. Balboa Blvd
Newport
CA 92661
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-06-03
Expiration Date 1996-06-01
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
542076 1.016811 Physician/Surgeon 1975-01-06 1994-07-18 - 1995-09-30 INACTIVE

Office Location

Street Address 1016 E. BALBOA BLVD
City NEWPORT
State CA
Zip Code 92661

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City NEWPORT
Zip Code 92661
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWPORT

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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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