JULIO E PENA
Controlled Substance Registration for Practitioner


Address: 34 Barnett St Apt E1, New Haven, CT 06515-2059

JULIO E PENA (Credential# 1058765) 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

JULIO E PENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052204. 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 34 Barnett St Apt E1, New Haven, CT 06515-2059. The current status is inactive.

Basic Information

Licensee Name JULIO E PENA
Credential ID 1058765
Credential Number CSP.0052204
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 34 Barnett St Apt E1
New Haven
CT 06515-2059
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-04-11
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 34 BARNETT ST APT E1
City NEW HAVEN
State CT
Zip Code 06515-2059

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Competitor

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City NEW HAVEN
Zip Code 06515
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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