INGRID GONZALEZ MD
Controlled Substance Registration for Practitioner


Address: 519 Aspen Glen Dr, Hamden, CT 06518

INGRID GONZALEZ MD (Credential# 479986) 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

INGRID GONZALEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042443. 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 519 Aspen Glen Dr, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name INGRID GONZALEZ MD
Credential ID 479986
Credential Number CSP.0042443
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 519 Aspen Glen Dr
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-17
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
563085 1.045503 Physician/Surgeon 2007-06-14 2008-02-08 - 2009-02-28 INACTIVE

Office Location

Street Address 519 ASPEN GLEN DR
City HAMDEN
State CT
Zip Code 06518

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Lynda Burke 68 Linden Avenue, Hamden, CT 06518 Notary Public Appointment 2011-12-08 ~ 2016-12-31
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Competitor

Search similar business entities

City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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