PEDRO J MALAVE MD
Controlled Substance Registration for Practitioner


Address: 2475 North Ave, Bridgeport, CT 06604-2337

PEDRO J MALAVE MD (Credential# 157447) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

PEDRO J MALAVE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019640. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 2475 North Ave, Bridgeport, CT 06604-2337. The current status is inactive.

Basic Information

Licensee Name PEDRO J MALAVE MD
Credential ID 157447
Credential Number CSP.0019640
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2475 North Ave
Bridgeport
CT 06604-2337
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
544582 1.023440 Physician/Surgeon 1991-09-20 2014-10-01 - 2015-09-30 INACTIVE

Office Location

Street Address 2475 NORTH AVE
City BRIDGEPORT
State CT
Zip Code 06604-2337

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Juan M Hernandez-trujillo 2475 North Ave, Bridgeport, CT 06604 Physician/surgeon 2004-09-15 ~ 2005-11-30

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Competitor

Search similar business entities

City BRIDGEPORT
Zip Code 06604
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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