JOSE S EVANGELISTA III
Salgado


Address: 400 Prospect St Unit 12b, La Jolla, CA 92037-4707

JOSE S EVANGELISTA III (Credential# 414553) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

JOSE S EVANGELISTA III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038203. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 400 Prospect St Unit 12b, La Jolla, CA 92037-4707. The current status is inactive.

Basic Information

Licensee Name JOSE S EVANGELISTA III
Doing Business As Salgado
Credential ID 414553
Credential Number CSP.0038203
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 400 Prospect St Unit 12b
La Jolla
CA 92037-4707
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-26
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
563936 1.046354 Physician/Surgeon 2008-04-01 2009-03-20 - 2010-04-30 INACTIVE

Office Location

Street Address 400 PROSPECT ST UNIT 12B
City LA JOLLA
State CA
Zip Code 92037-4707

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Competitor

Search similar business entities

City LA JOLLA
Zip Code 92037
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LA JOLLA

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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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