MANUEL A MORENO GONZALES
Controlled Substance Registration for Practitioner


Address: 159 Grandeville Road Sw Vnh22, Rochester, MN 55902

MANUEL A MORENO GONZALES (Credential# 1352734) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 29, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MANUEL A MORENO GONZALES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062700. The credential type is controlled substance registration for practitioner. The effective date is June 29, 2016. The expiration date is February 28, 2017. The business address is 159 Grandeville Road Sw Vnh22, Rochester, MN 55902. The current status is inactive.

Basic Information

Licensee Name MANUEL A MORENO GONZALES
Credential ID 1352734
Credential Number CSP.0062700
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 159 Grandeville Road Sw Vnh22
Rochester
MN 55902
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2016-06-29
Effective Date 2016-06-29
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 159 GRANDEVILLE ROAD SW VNH22
City ROCHESTER
State MN
Zip Code 55902

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eunsook Samantha Lee 910 Wicklow Lane Sw, Rochester, MN 55902 Pharmacist 2018-02-01 ~ 2020-01-31
Pradeep K Siddappa 620 2nd St Sw 311, Rochester, MN 55902 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Joshua L Shones 635 36th St Sw, Rochester, MN 55902 Professional Engineer 2017-02-01 ~ 2018-01-31
Hildon House Usa 1421 20th St S W, Rochester, MN 55902 Non-alcoholic Beverage & Water Bottlers 1997-06-10 ~ 1998-06-30
Eileen F Hawkins 844 7th Ave Sw, Rochester, MN 55902 Registered Nurse 1993-05-25 ~ 1994-07-31
Kenneth A Iczkowski 621 1st St S.w., Rochester, MN 55902 Physician/surgeon ~ 1996-07-31
Craig A Hawkins 844 7th Avenue Sw, Rochester, MN 55902 Physician/surgeon 1994-02-25 ~ 1995-01-31
Heilia L Vines 2804 2nd Street Sw, Rochester, MN 55902 Registered Nurse 2007-01-08 ~ 2008-01-31
Lynette J Krakowski 2845 Fox Valley Dr, Rochester, MN 55902 Registered Nurse 1994-06-16 ~ 1995-06-30
Renee L Jacobson 1029 Plummer Cir Sw, Rochester, MN 55902 Pharmacist 1800-12-27 ~ 1993-03-31
Find all Licenses in zip 55902

Competitor

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City ROCHESTER
Zip Code 55902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROCHESTER

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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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