FLAVIO PATERNO
Controlled Substance Registration for Practitioner


Address: 101 S Brookside Dr Apt 2601, Dallas, TX 75214-4587

FLAVIO PATERNO (Credential# 414486) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

FLAVIO PATERNO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038151. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 101 S Brookside Dr Apt 2601, Dallas, TX 75214-4587. The current status is inactive.

Basic Information

Licensee Name FLAVIO PATERNO
Credential ID 414486
Credential Number CSP.0038151
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 S Brookside Dr Apt 2601
Dallas
TX 75214-4587
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-22
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
950106 1.049230 Physician/Surgeon 2010-09-21 2011-06-01 - 2012-05-31 INACTIVE

Office Location

Street Address 101 S BROOKSIDE DR APT 2601
City DALLAS
State TX
Zip Code 75214-4587

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Mark D Marshall 617 N Brookside Dr, Dallas, TX 75214 Physician/surgeon 1994-06-14 ~ 1995-08-31
Joyce M Libone 6260 Kenwood Avenue, Dallas, TX 75214 Registered Nurse 2004-08-09 ~ 2005-09-30
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Competitor

Search similar business entities

City DALLAS
Zip Code 75214
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DALLAS

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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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