GUILLERMO HIDALGO
Controlled Substance Registration for Practitioner


Address: 70 Mansfield Ave, Willimantic, CT 06226-2020

GUILLERMO HIDALGO (Credential# 281495) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

GUILLERMO HIDALGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030992. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 70 Mansfield Ave, Willimantic, CT 06226-2020. The current status is inactive.

Basic Information

Licensee Name GUILLERMO HIDALGO
Credential ID 281495
Credential Number CSP.0030992
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 70 Mansfield Ave
Willimantic
CT 06226-2020
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
557188 1.039604 Physician/Surgeon 2001-06-12 2011-02-14 - 2011-08-31 INACTIVE
982966 1 Physician/Surgeon - PENDING

Office Location

Street Address 70 Mansfield Ave
City Willimantic
State CT
Zip Code 06226-2020

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Competitor

Search similar business entities

City Willimantic
Zip Code 06226
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Willimantic

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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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