FRANCISCO PERESE (Credential# 1402850) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
FRANCISCO PERESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064794. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 5225 Maple Ave Apt 3204, Dallas, TX 75235-8456. The current status is inactive.
| Licensee Name | FRANCISCO PERESE |
| Credential ID | 1402850 |
| Credential Number | CSP.0064794 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5225 Maple Ave Apt 3204 Dallas TX 75235-8456 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - SURRENDERED |
| Issue Date | 2017-06-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1408633 | 1.056477 | Physician/Surgeon | 2017-05-31 | 2018-06-01 - 2019-05-31 | INACTIVE |
| Street Address | 5225 MAPLE AVE APT 3204 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-8456 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Powerhouse Pharmacy | 2726 W Mockingbird Lane, Dallas, TX 75235 | Nonresident Pharmacy | 2020-01-21 ~ 2020-08-31 |
| Delevette Stoute | 2140 Medical District Dr., Dallas, TX 75235 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Hanan Mostafa El Shakankiry | 2140 Medical District Drive, Dallas, TX 75235 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Sarah Elizabeth Baker | Parkland Behavioral Health Center, Dallas, TX 75235 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Larry G Andres · Andres & Associates | 1320 Prudential Dr #202, Dallas, TX 75235 | Architect | 2000-08-01 ~ 2001-07-31 |
| Takaaki Wada | 2222 Moton Street, Dallas, TX 75235 | Physician/surgeon | 2008-01-25 ~ 2008-12-31 |
| Aleksandar L Krunic | 5720 Forest Park Road, Dallas, TX 75235 | Physician/surgeon | 2003-07-28 ~ 2004-07-31 |
| Misa Imports Inc · Misa Imports | 1502 Viceroy Dr, Dallas, TX 75235-2304 | Out of State Shipper Liquor | 2019-09-04 ~ 2020-09-03 |
| Clay J Cockerell | 2110 Research Row Ste 100, Dallas, TX 75235-2520 | Physician/surgeon | ~ |
| The Apothecary Shop | 6303 Forest Park Rd # Bla126, Dallas, TX 75235-5450 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Find all Licenses in zip 75235 | |||
| City | DALLAS |
| Zip Code | 75235 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DALLAS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirsten P Marcus Md | 788 8th Ave, Apt. 4, San Francisco, CA 94118 | Controlled Substance Registration for Practitioner | 2013-03-13 ~ 2015-02-28 |
| Sujal S Mandavia | 55 Pacific Ave, San Francisco, CA 94111-2009 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Dayang K Jaya | 424 Texas St, San Francisco, CA 94107-2933 | Controlled Substance Registration for Practitioner | 2011-03-10 ~ 2013-02-28 |
| Francisco G Irby | 90 S Main St, Middletown, CT 06457-3649 | Controlled Substance Registration for Practitioner | 2009-07-31 ~ 2011-02-28 |
| Francisco Amador | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2020-04-03 ~ 2021-02-28 |
| Francisco J Contreras | 40 Prospect Ave Apt 1-2k, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Priyanka Jha Md | 525 Nelson Rising Ln Apt 917, San Francisco, CA 94158-2317 | Controlled Substance Registration for Practitioner | 2009-06-15 ~ 2011-02-28 |
| Francisco G Aguilar | 78 Olive St Apt 503, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-13 ~ 2007-02-28 |
| Jesse C Nussbaum Md | 150 Woodland Ave, San Francisco, CA 94117-3861 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Megha Miglani | 760 Harrison St, San Francisco, CA 94107 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on FRANCISCO PERESE.
| 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).