MIGUEL ESCOBAR MD
Controlled Substance Registration for Practitioner


Address: 1508 Woodway Blub Drive, Durham, NC 27713-8316

MIGUEL ESCOBAR MD (Credential# 163253) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 5, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

MIGUEL ESCOBAR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023873. The credential type is controlled substance registration for practitioner. The effective date is December 5, 1995. The expiration date is February 28, 1997. The business address is 1508 Woodway Blub Drive, Durham, NC 27713-8316. The current status is inactive.

Basic Information

Licensee Name MIGUEL ESCOBAR MD
Credential ID 163253
Credential Number CSP.0023873
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1508 Woodway Blub Drive
Durham
NC 27713-8316
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-12-05
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Office Location

Street Address 1508 WOODWAY BLUB DRIVE
City DURHAM
State NC
Zip Code 27713-8316

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Amanda Brooke Davis 8412 Morrell Lane, Durham, NC 27713 Veterinarian 2018-02-21 ~ 2019-01-31
Karen L Wurst 100 Stratford Lakes Drive, Durham, NC 27713 Registered Nurse 2019-05-01 ~ 2020-04-30
Lisa M Gilmore 330 Kinney Glenn Ct, Durham, NC 27713 Registered Nurse 2019-03-01 ~ 2020-02-29
Paul W Hayman 8006 Crichton Lane, Durham, NC 27713 Professional Engineer 2012-02-01 ~ 2013-01-31
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Competitor

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City DURHAM
Zip Code 27713
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DURHAM

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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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