RAMON A MABASA MD
Controlled Substance Registration for Practitioner


Address: Two Ledge Lane, New Milford, CT 06776

RAMON A MABASA MD (Credential# 156988) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

RAMON A MABASA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014764. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is Two Ledge Lane, New Milford, CT 06776. The current status is inactive.

Basic Information

Licensee Name RAMON A MABASA MD
Credential ID 156988
Credential Number CSP.0014764
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Two Ledge Lane
New Milford
CT 06776
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
541425 1.015283 Physician/Surgeon 1971-10-22 2013-10-01 - 2014-09-30 INACTIVE

Office Location

Street Address Two Ledge Lane
City NEW MILFORD
State CT
Zip Code 06776

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Competitor

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City NEW MILFORD
Zip Code 06776
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW MILFORD

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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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