CORINA L GONZALES MD
Controlled Substance Registration for Practitioner


Address: 1 Towne Park Plz, Norwich, CT 06360-7412

CORINA L GONZALES MD (Credential# 534104) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

CORINA L GONZALES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045598. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 1 Towne Park Plz, Norwich, CT 06360-7412. The current status is inactive.

Basic Information

Licensee Name CORINA L GONZALES MD
Credential ID 534104
Credential Number CSP.0045598
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Towne Park Plz
Norwich
CT 06360-7412
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-06-11
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2014-05-01

Other licenses

ID Credential Code Credential Type Issue Term Status
565253 1.047671 Physician/Surgeon 2009-05-08 2012-10-01 - 2013-09-30 INACTIVE

Office Location

Street Address 1 Towne Park Plz
City NORWICH
State CT
Zip Code 06360-7412

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Competitor

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City NORWICH
Zip Code 06360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH

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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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