LYNNEA VILLANOVA MD
Controlled Substance Registration for Practitioner


Address: 510 W. 123rd Street, New York, NY 10027

LYNNEA VILLANOVA MD (Credential# 174301) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 2, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

LYNNEA VILLANOVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024450. The credential type is controlled substance registration for practitioner. The effective date is July 2, 1996. The expiration date is February 28, 1997. The business address is 510 W. 123rd Street, New York, NY 10027. The current status is inactive.

Basic Information

Licensee Name LYNNEA VILLANOVA MD
Credential ID 174301
Credential Number CSP.0024450
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 510 W. 123rd Street
New York
NY 10027
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-07-02
Expiration Date 1997-02-28
Refresh Date 2009-01-26

Office Location

Street Address 510 W. 123rd Street
City New York
State NY
Zip Code 10027

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License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
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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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