GENEVIEVE ESTILO MD
Controlled Substance Registration for Practitioner


Address: 435 Whitney Ave #b6, New Haven, CT 06511

GENEVIEVE ESTILO MD (Credential# 339519) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

GENEVIEVE ESTILO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033566. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 435 Whitney Ave #b6, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name GENEVIEVE ESTILO MD
Credential ID 339519
Credential Number CSP.0033566
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 435 Whitney Ave #b6
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
559248 1.041665 Physician/Surgeon 2003-07-15 2003-11-06 - 2004-12-31 INACTIVE

Office Location

Street Address 435 WHITNEY AVE #B6
City NEW HAVEN
State CT
Zip Code 06511

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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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