JUAN GARCIA MD
Controlled Substance Registration for Practitioner


Address: 21-a Blake Ave, Clinton, CT 06413

JUAN GARCIA MD (Credential# 162050) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

JUAN GARCIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023554. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 21-a Blake Ave, Clinton, CT 06413. The current status is inactive.

Basic Information

Licensee Name JUAN GARCIA MD
Credential ID 162050
Credential Number CSP.0023554
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 21-a Blake Ave
Clinton
CT 06413
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
552092 1.034496 Physician/Surgeon 1995-05-26 1998-01-06 - 1999-01-31 INACTIVE

Office Location

Street Address 21-A BLAKE AVE
City CLINTON
State CT
Zip Code 06413

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Competitor

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City CLINTON
Zip Code 06413
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CLINTON

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Juan Mendoza 81 Malibu Rd, Stamford, CT 06903 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
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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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