ALFRED J PADILLA
Controlled Substance Registration for Practitioner


Address: 56 Lafayette Pl Ste A, Greenwich, CT 06830-5452

ALFRED J PADILLA (Credential# 143157) 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.

Business Overview

ALFRED J PADILLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010934. 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 56 Lafayette Pl Ste A, Greenwich, CT 06830-5452. The current status is inactive.

Basic Information

Licensee Name ALFRED J PADILLA
Credential ID 143157
Credential Number CSP.0010934
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 56 Lafayette Pl Ste A
Greenwich
CT 06830-5452
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
544695 1.023697 Physician/Surgeon 1982-07-09 2018-10-01 - 2019-09-30 INACTIVE

Office Location

Street Address 56 LAFAYETTE PL STE A
City GREENWICH
State CT
Zip Code 06830-5452

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Competitor

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City GREENWICH
Zip Code 06830
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH

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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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