FABIOLA A MIESES
Controlled Substance Registration for Practitioner


Address: 282 Washington St, Bridgeport, CT 06606

FABIOLA A MIESES (Credential# 1519359) 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

FABIOLA A MIESES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068509. 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 282 Washington St, Bridgeport, CT 06606. The current status is active.

Basic Information

Licensee Name FABIOLA A MIESES
Credential ID 1519359
Credential Number CSP.0068509
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 282 Washington St
Bridgeport
CT 06606
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-06-07
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-14

Other locations

Licensee Name Office Address Credential Effective / Expiration
Fabiola A Mieses 2800 Main St Dept Of, Bridgeport, CT 06606-4201 Resident Physician 2018-07-01 ~ 2021-06-30

Office Location

Street Address 282 WASHINGTON ST
City BRIDGEPORT
State CT
Zip Code 06606

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Competitor

Search similar business entities

City BRIDGEPORT
Zip Code 06606
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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