RITA M BUSTAMANTE
Controlled Substance Registration for Practitioner


Address: 226 Highridge Ct, Peekskill, NY 10566-4449

RITA M BUSTAMANTE (Credential# 411277) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

RITA M BUSTAMANTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037842. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 226 Highridge Ct, Peekskill, NY 10566-4449. The current status is inactive.

Basic Information

Licensee Name RITA M BUSTAMANTE
Credential ID 411277
Credential Number CSP.0037842
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 226 Highridge Ct
Peekskill
NY 10566-4449
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-07-25
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
561172 1.043590 Physician/Surgeon 2005-06-30 2014-12-01 - 2015-11-30 PENDING

Office Location

Street Address 226 HIGHRIDGE CT
City PEEKSKILL
State NY
Zip Code 10566-4449

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Competitor

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City PEEKSKILL
Zip Code 10566
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PEEKSKILL

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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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