THERESA MALDONADO
Controlled Substance Registration for Practitioner


Address: 102 Penn Rd, Scarsdale, NY 10583-7558

THERESA MALDONADO (Credential# 1513392) 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

THERESA MALDONADO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068014. 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 102 Penn Rd, Scarsdale, NY 10583-7558. The current status is active.

Basic Information

Licensee Name THERESA MALDONADO
Credential ID 1513392
Credential Number CSP.0068014
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 102 Penn Rd
Scarsdale
NY 10583-7558
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-05-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1493057 1.060338 Physician/Surgeon 2018-04-16 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 102 PENN RD
City SCARSDALE
State NY
Zip Code 10583-7558

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Russell Grant 1198 Post Road, Scarsdale, NY 10583 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jessica P Chan 126 Edgemont Rd, Scarsdale, NY 10583 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
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Competitor

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City SCARSDALE
Zip Code 10583
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SCARSDALE

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Pedro A Maldonado Md 265 College St, New Haven, CT 06510 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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Oscar Maldonado Md 76 Carriage Drive, North Haven, CT 06473-1505 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
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Theresa M Keddy 21 Fox Run Rd, Unionville, CT 06085-1059 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Theresa M Nicoladse Lnm 10 Lucille St, Fairfield, CT 06432 Controlled Substance Registration for Practitioner 2003-03-28 ~ 2004-02-28
Theresa A Molisse Md 9 Turnberry Rd, Wallingford, CT 06492-2743 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Theresa Piotrowski Md 318 So Main St, Newtown, CT 06470 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
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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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