FREDERICK DEROSIER DO
Controlled Substance Registration for Practitioner


Address: 3500 Avenida Pantera, Carlsbad, CA 920090

FREDERICK DEROSIER DO (Credential# 157828) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 11, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

FREDERICK DEROSIER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017809. The credential type is controlled substance registration for practitioner. The effective date is March 11, 2015. The expiration date is February 28, 2017. The business address is 3500 Avenida Pantera, Carlsbad, CA 920090. The current status is inactive.

Basic Information

Licensee Name FREDERICK DEROSIER DO
Credential ID 157828
Credential Number CSP.0017809
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3500 Avenida Pantera
Carlsbad
CA 920090
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-11
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 3500 Avenida Pantera
City Carlsbad
State CA
Zip Code 920090

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Competitor

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City Carlsbad
Zip Code 92009
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Carlsbad

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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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