WALESKA D MAYMI DPM
Controlled Substance Registration for Practitioner


Address: Yale Podiatry Group, Ansonia, CT 06401

WALESKA D MAYMI DPM (Credential# 161062) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 29, 1994. The license expiration date date is May 1, 1996. The license status is INACTIVE.

Business Overview

WALESKA D MAYMI DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022359. The credential type is controlled substance registration for practitioner. The effective date is July 29, 1994. The expiration date is May 1, 1996. The business address is Yale Podiatry Group, Ansonia, CT 06401. The current status is inactive.

Basic Information

Licensee Name WALESKA D MAYMI DPM
Credential ID 161062
Credential Number CSP.0022359
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Yale Podiatry Group
Ansonia
CT 06401
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-07-29
Expiration Date 1996-05-01
Refresh Date 2004-04-23

Office Location

Street Address YALE PODIATRY GROUP
City ANSONIA
State CT
Zip Code 06401

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Competitor

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City ANSONIA
Zip Code 06401
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANSONIA

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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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