ALEXANDER R ROJANO FONTALVO
Controlled Substance Registration for Practitioner


Address: 255 Great Neck Rd Apt 406, Great Neck Plaza, NY 11021-3361

ALEXANDER R ROJANO FONTALVO (Credential# 1469277) 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 ACTIVE.

Business Overview

ALEXANDER R ROJANO FONTALVO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067283. 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 255 Great Neck Rd Apt 406, Great Neck Plaza, NY 11021-3361. The current status is active.

Basic Information

Licensee Name ALEXANDER R ROJANO FONTALVO
Credential ID 1469277
Credential Number CSP.0067283
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 255 Great Neck Rd Apt 406
Great Neck Plaza
NY 11021-3361
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-01-03
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1459782 2.011951 Dentist 2018-01-02 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 255 GREAT NECK RD APT 406
City GREAT NECK PLAZA
State NY
Zip Code 11021-3361

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City GREAT NECK PLAZA
Zip Code 11021
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREAT NECK PLAZA

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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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