HIROZO MATSUZAKA
Controlled Substance Registration for Practitioner


Address: 1520 Long Ridge Rd, Stamford, CT 06903

HIROZO MATSUZAKA (Credential# 143921) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

HIROZO MATSUZAKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000298. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 1520 Long Ridge Rd, Stamford, CT 06903. The current status is inactive.

Basic Information

Licensee Name HIROZO MATSUZAKA
Credential ID 143921
Credential Number CSP.0000298
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1520 Long Ridge Rd
Stamford
CT 06903
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
542769 1.018528 Physician/Surgeon 1976-11-12 2004-09-08 - 2005-10-31 INACTIVE

Office Location

Street Address 1520 LONG RIDGE RD
City STAMFORD
State CT
Zip Code 06903

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Competitor

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City STAMFORD
Zip Code 06903
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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