ALFONSO R ENRIQUEZ MD
Controlled Substance Registration for Practitioner


Address: 300 Kensington Avenue, New Britain, CT 06051

ALFONSO R ENRIQUEZ MD (Credential# 151637) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

ALFONSO R ENRIQUEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004215. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 300 Kensington Avenue, New Britain, CT 06051. The current status is inactive.

Basic Information

Licensee Name ALFONSO R ENRIQUEZ MD
Credential ID 151637
Credential Number CSP.0004215
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 300 Kensington Avenue
New Britain
CT 06051
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 300 KENSINGTON AVENUE
City NEW BRITAIN
State CT
Zip Code 06051

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Competitor

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City NEW BRITAIN
Zip Code 06051
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN

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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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