JULIAN NIEVES III
Controlled Substance Registration for Practitioner


Address: 169 Natchaug Dr, Meriden, CT 06450-7418

JULIAN NIEVES III (Credential# 198812) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JULIAN NIEVES III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027113. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 169 Natchaug Dr, Meriden, CT 06450-7418. The current status is active.

Basic Information

Licensee Name JULIAN NIEVES III
Credential ID 198812
Credential Number CSP.0027113
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 169 Natchaug Dr
Meriden
CT 06450-7418
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-24
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
554327 1.036736 Physician/Surgeon 1998-03-27 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 169 NATCHAUG DR
City MERIDEN
State CT
Zip Code 06450-7418

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Competitor

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City MERIDEN
Zip Code 06450
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERIDEN

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Kimberly A Nieves Aprn 18 Rainbow Crest, Hopewell Jct, NY 12533 Controlled Substance Registration for Practitioner 2008-03-07 ~ 2009-02-28
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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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