JULIAN ESTEBAN MD
Controlled Substance Registration for Practitioner


Address: Cottage Grove Cardiology PC, Bloomfield, CT 06002

JULIAN ESTEBAN MD (Credential# 359799) 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 ESTEBAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034464. 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 Cottage Grove Cardiology PC, Bloomfield, CT 06002. The current status is active.

Basic Information

Licensee Name JULIAN ESTEBAN MD
Credential ID 359799
Credential Number CSP.0034464
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Cottage Grove Cardiology PC
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-07-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-06

Other licenses

ID Credential Code Credential Type Issue Term Status
552975 1.035382 Physician/Surgeon 1996-07-05 2019-12-01 - 2020-11-30 ACTIVE
176636 CSP.0024564 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address COTTAGE GROVE CARDIOLOGY PC
City BLOOMFIELD
State CT
Zip Code 06002

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Sheri M Sparks Primary Eye Care Center, Bloomfield, CT 06002 Optometrist 2020-09-01 ~ 2021-08-31
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Healing Meals Foundation Corporation Po Box 7223, Bloomfield, CT 06002 Public Charity 2020-12-01 ~ 2021-11-30
Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Dorothy W Field 177 Oliver Way, Bloomfield, CT 06002 Registered Nurse 2020-09-01 ~ 2021-08-31
Carol J Mortensen 6 Maple Edge Dr, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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