ESTELLA Y GUO
Controlled Substance Registration for Practitioner


Address: 47 Boston Ct, Newark, NJ 07103-3445

ESTELLA Y GUO (Credential# 997102) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 16, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ESTELLA Y GUO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050099. The credential type is controlled substance registration for practitioner. The effective date is May 16, 2011. The expiration date is February 28, 2013. The business address is 47 Boston Ct, Newark, NJ 07103-3445. The current status is inactive.

Basic Information

Licensee Name ESTELLA Y GUO
Credential ID 997102
Credential Number CSP.0050099
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 47 Boston Ct
Newark
NJ 07103-3445
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-05-16
Effective Date 2011-05-16
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
989946 2.010496 Dentist 2011-04-14 2011-10-01 - 2012-09-30 INACTIVE

Office Location

Street Address 47 BOSTON CT
City NEWARK
State NJ
Zip Code 07103-3445

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Competitor

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City NEWARK
Zip Code 07103
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWARK

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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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