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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
544582 | 1.023440 | Physician/Surgeon | 1991-09-20 | 2014-10-01 - 2015-09-30 | INACTIVE |
Street Address | 2475 NORTH AVE |
City | BRIDGEPORT |
State | CT |
Zip Code | 06604-2337 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Juan M Hernandez-trujillo | 2475 North Ave, Bridgeport, CT 06604 | Physician/surgeon | 2004-09-15 ~ 2005-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wheels #17 | 2505 North Ave, Bridgeport, CT 06604-2337 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
Camille Beachamp | 52 Merchant St, Bridgeport, CT 06604-2337 | Pharmacy Technician | 2015-04-01 ~ 2016-03-31 |
Master Freedom Fuels | 2505 North Ave, Bridgeport, CT 06604-2337 | Lottery Sales Agent | 2017-01-20 ~ 2018-03-31 |
Master Food & Fuels | 2505 North Ave, Bridgeport, CT 06604-2337 | Retail Gasoline Dealer | 2012-11-01 ~ 2013-10-31 |
Master Amoco | 2505 North Ave, Bridgeport, CT 06604-2337 | Lottery Sales Agent | 2012-04-01 ~ 2013-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Famous Pizza | 430 Park Avenue, Bridgeport, CT 06604 | Bakery | 2020-07-01 ~ 2021-06-30 |
Yishuang Chen | 15 Cottege Pl, Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Yazhen Yang | 670 W Taft Ave, Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mai Hoang Diep | 1450 North Ave., Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Kayleen Barrios | 324 Benham Avenue, Bridgeport, CT 06604 | Hairdresser/cosmetician | ~ |
Mbrk Construction LLC | 2450 North Ave, Bridgeport, CT 06604 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
Leovigilda Navarro-vasquez | 168 Pacific St, Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Katherine H Szilagyi-fletcher · Szilagyi | 615 West Taft Ave, Bridgeport, CT 06604 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Shakeema Demetria Barnes | 508 Harral Ave Apt #129, Bridgeport, CT 06604 | Licensed Practical Nurse | 2020-06-22 ~ 2021-03-31 |
Margaret I Dennehy | 51 Bancroft Ave, Bridgeport, CT 06604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06604 |
City | BRIDGEPORT |
Zip Code | 06604 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pedro A Romero Md | 155 Main St, Manchester, CT 06042-6527 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-06-08 |
Pedro A Maldonado Md | 265 College St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Pedro A Baez | 5 Verly Court, Bethpage, NY 11714 | Controlled Substance Registration for Practitioner | 2019-07-16 ~ 2021-02-28 |
Pedro Garcia Dds | 328 Main Street, West Haven, CT 06516-4425 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Pedro De Oliveira Coutinho | 180 Millard Street, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Luis Pedro Miron Carcamo | 29 Wellington Dr, Farmington, CT 06032-3208 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Pedro J Gonzalez Jimenez | 900 Chapel St Roc107, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Pedro D Guimaraes | 7 Elmwood Road, Cape Elizabeth, ME 04107 | Controlled Substance Registration for Practitioner | 1993-08-16 ~ 1995-09-01 |
Caleb Maness Stalls | 7400 San Pedro Dr Ne Apt 1061, Albuquerque, NM 87109-4691 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tony Olof Sandstrom | 7400 San Pedro Dr Ne Apt 2107, Albuquerque, NM 87109-4697 | Controlled Substance Registration for Practitioner | 2017-12-27 ~ 2019-02-28 |
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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).