EFRAIM GOMEZ-ZAPATA
Controlled Substance Registration for Practitioner


Address: 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902-8504

EFRAIM GOMEZ-ZAPATA (Credential# 156826) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

EFRAIM GOMEZ-ZAPATA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015644. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902-8504. The current status is inactive.

Basic Information

Licensee Name EFRAIM GOMEZ-ZAPATA
Credential ID 156826
Credential Number CSP.0015644
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 Strawberry Hill Ave Ste L1
Stamford
CT 06902-8504
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2006-04-04
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2010-04-20

Other licenses

ID Credential Code Credential Type Issue Term Status
547157 1.028420 Physician/Surgeon 1987-08-20 2008-10-20 - 2009-05-19 INACTIVE

Office Location

Street Address 60 STRAWBERRY HILL AVE STE L1
City STAMFORD
State CT
Zip Code 06902-8504

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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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