GUSTAVO RIVERA MD
Controlled Substance Registration for Practitioner


Address: 72 Jaques Ave, Worcester, MA 01610

GUSTAVO RIVERA MD (Credential# 243142) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

GUSTAVO RIVERA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030086. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 72 Jaques Ave, Worcester, MA 01610. The current status is inactive.

Basic Information

Licensee Name GUSTAVO RIVERA MD
Credential ID 243142
Credential Number CSP.0030086
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 72 Jaques Ave
Worcester
MA 01610
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
556467 1.038879 Physician/Surgeon 2000-07-14 2000-10-19 - 2001-09-30 INACTIVE

Office Location

Street Address 72 JAQUES AVE
City WORCESTER
State MA
Zip Code 01610

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D D L Renovations Co 1 South Harlem St, Worcester, MA 01610 Home Improvement Contractor 2000-12-01 ~ 2001-11-30
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Competitor

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City WORCESTER
Zip Code 01610
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER

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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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