ENABAH LARACUENTE
Controlled Substance Registration for Practitioner


Address: 102 Gilbert Ave Fl 3, New Haven, CT 06511-5304

ENABAH LARACUENTE (Credential# 1248770) 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

ENABAH LARACUENTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058830. 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 102 Gilbert Ave Fl 3, New Haven, CT 06511-5304. The current status is inactive.

Basic Information

Licensee Name ENABAH LARACUENTE
Credential ID 1248770
Credential Number CSP.0058830
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 102 Gilbert Ave Fl 3
New Haven
CT 06511-5304
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-10-05
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
1239730 16.000393 Licensed Nurse Midwife 2014-08-20 2016-02-01 - 2017-01-31 INACTIVE
1154940 10.111775 Registered Nurse 2013-06-28 2016-02-01 - 2017-01-31 INACTIVE

Office Location

Street Address 102 GILBERT AVE FL 3
City NEW HAVEN
State CT
Zip Code 06511-5304

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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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