TATIANA I RODRIGUEZ DE IBANEZ DDS
Controlled Substance Registration for Practitioner


Address: 14 Southbridge Court, Simsbury, CT 06070

TATIANA I RODRIGUEZ DE IBANEZ DDS (Credential# 441071) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

TATIANA I RODRIGUEZ DE IBANEZ DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039283. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 14 Southbridge Court, Simsbury, CT 06070. The current status is inactive.

Basic Information

Licensee Name TATIANA I RODRIGUEZ DE IBANEZ DDS
Credential ID 441071
Credential Number CSP.0039283
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Southbridge Court
Simsbury
CT 06070
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-06-09
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Office Location

Street Address 14 SOUTHBRIDGE COURT
City SIMSBURY
State CT
Zip Code 06070

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Competitor

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City SIMSBURY
Zip Code 06070
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY

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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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