JOSE A BASTIDAS (Credential# 163751) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 2, 1993. The license expiration date date is July 1, 1995. The license status is INACTIVE.
JOSE A BASTIDAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021230. The credential type is controlled substance registration for practitioner. The effective date is August 2, 1993. The expiration date is July 1, 1995. The business address is 1122 Plainfield Rd, South Euclid, OH 44121. The current status is inactive.
| Licensee Name | JOSE A BASTIDAS |
| Credential ID | 163751 |
| Credential Number | CSP.0021230 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1122 Plainfield Rd South Euclid OH 44121 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1993-08-02 |
| Expiration Date | 1995-07-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550482 | 1.032882 | Physician/Surgeon | 1993-04-23 | 1994-05-05 - 1995-03-31 | INACTIVE |
| Street Address | 1122 PLAINFIELD RD |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirk A Fry | 1303 Argonne Rd, S Euclid, OH 44121 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Isaac A Lewin | 4110 Mayfield Road, Cleveland, OH 44121 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Yvette Walker | 4605 Greenwold Rd, South Euclid, OH 44121 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Nicholas James Zielinski | 231 S Belvior Blvd, South Euclid, OH 44121 | Physician Assistant | ~ |
| Ronald J Mancini | 1089 S Belvoir, S Euclid, OH 44121 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Thomas B Pavlock | 3755 Fairoaks Road, South Euclid, OH 44121 | Architect | 2009-08-01 ~ 2010-07-31 |
| Christine Johnson | 848 Cambridge Raod, Cleveland Heights, OH 44121 | Registered Nurse | 2010-06-01 ~ 2011-05-31 |
| David L Cannon | 4373 Lucille Ave, South Euclid, OH 44121 | Hairdresser/cosmetician | 2004-09-23 ~ 2006-11-30 |
| Alborz Alali | 1577 Oakmount Road, Cleveland, OH 44121 | Physician/surgeon | 1998-12-08 ~ 1999-12-31 |
| Emma L Dobson | 270 South Green Rd, South Euclid, OH 44121 | Licensed Practical Nurse | 1992-03-24 ~ 1993-02-28 |
| Find all Licenses in zip 44121 | |||
| City | SOUTH EUCLID |
| Zip Code | 44121 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH EUCLID |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose M Mullen Md | Po Box 387, Colchester, CT 06415 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jose Azocar | 330 Main St Ste 101, Hartford, CT 06106-1860 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose R Villaluz Jr | 548 Willow St, Waterbury, CT 06710 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jose D Rosa Do | 644 Riverside Dr Apt 11d, New York, NY 10031-6931 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Soni Jose | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2009-03-12 ~ 2011-02-28 |
| Jose A Estela Md | 94 Bellevue Ave, Bristol, CT 06010-5816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose E Santoro | 50 Alden Av, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jose Ruades | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Jose G Mejia Md | 350 W 50th St Apt 3ee, New York, NY 10019-6694 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose Calderon Md | 401 Copse Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).