ERNESTO R MONTESINO MD
Controlled Substance Registration for Practitioner


Address: 33 E Camino Real Apt 923, Boca Raton, FL 33432-6156

ERNESTO R MONTESINO MD (Credential# 473133) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 14, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ERNESTO R MONTESINO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041590. The credential type is controlled substance registration for practitioner. The effective date is March 14, 2011. The expiration date is February 28, 2013. The business address is 33 E Camino Real Apt 923, Boca Raton, FL 33432-6156. The current status is inactive.

Basic Information

Licensee Name ERNESTO R MONTESINO MD
Credential ID 473133
Credential Number CSP.0041590
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 33 E Camino Real Apt 923
Boca Raton
FL 33432-6156
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-06-08
Effective Date 2011-03-14
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565183 1.047601 Physician/Surgeon 2009-04-22 2011-12-01 - 2012-11-30 INACTIVE

Office Location

Street Address 33 E CAMINO REAL APT 923
City BOCA RATON
State FL
Zip Code 33432-6156

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Competitor

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City BOCA RATON
Zip Code 33432
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOCA RATON

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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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