DALIA N. BALSAMO
Controlled Substance Registration for Practitioner


Address: 14 Trumbull Street, New Haven, CT 06511

DALIA N. BALSAMO (Credential# 1174044) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

DALIA N. BALSAMO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055373. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 14 Trumbull Street, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name DALIA N. BALSAMO
Credential ID 1174044
Credential Number CSP.0055373
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Trumbull Street
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-07-15
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1156492 1.052142 Physician/Surgeon 2013-06-20 2015-09-01 - 2016-08-31 INACTIVE

Office Location

Street Address 14 Trumbull Street
City New Haven
State CT
Zip Code 06511

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
John Michael Markiewicz 14 Trumbull Street, New Haven, CT 06511 Notary Public Appointment 2006-04-01 ~ 2011-03-31
Harriett Markievicz 14 Trumbull Street, New Haven, CT 06500 Notary Public Appointment 1978-06-01 ~ 1983-03-31

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Competitor

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City New Haven
Zip Code 06511
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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