NICOLE DEVINCENZO GARCIA
Controlled Substance Registration for Practitioner


Address: 745 Post Rd Ste 100, Darien, CT 06820-4720

NICOLE DEVINCENZO GARCIA (Credential# 952837) 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

NICOLE DEVINCENZO GARCIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048940. 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 745 Post Rd Ste 100, Darien, CT 06820-4720. The current status is inactive.

Basic Information

Licensee Name NICOLE DEVINCENZO GARCIA
Credential ID 952837
Credential Number CSP.0048940
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 745 Post Rd Ste 100
Darien
CT 06820-4720
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-09-16
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
984592 1.049971 Physician/Surgeon 2011-06-15 2012-12-01 - 2013-11-30 INACTIVE
511469 CSP.0044389 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-10-06 2008-10-06 - 2009-02-28 INACTIVE

Office Location

Street Address 745 POST RD STE 100
City DARIEN
State CT
Zip Code 06820-4720

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Competitor

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City DARIEN
Zip Code 06820
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN

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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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