CASILDA M BALMACEDA MD
Controlled Substance Registration for Practitioner


Address: 24 Hamilton Ter, New York, NY 10031-6403

CASILDA M BALMACEDA MD (Credential# 1034948) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 26, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

CASILDA M BALMACEDA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051458. The credential type is controlled substance registration for practitioner. The effective date is September 26, 2011. The expiration date is February 28, 2013. The business address is 24 Hamilton Ter, New York, NY 10031-6403. The current status is inactive.

Basic Information

Licensee Name CASILDA M BALMACEDA MD
Credential ID 1034948
Credential Number CSP.0051458
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 24 Hamilton Ter
New York
NY 10031-6403
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-09-26
Effective Date 2011-09-26
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1002841 1.050334 Physician/Surgeon 2011-09-20 2011-09-20 - 2012-04-30 INACTIVE

Office Location

Street Address 24 HAMILTON TER
City NEW YORK
State NY
Zip Code 10031-6403

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City NEW YORK
Zip Code 10031
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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