ANDREA GUTIERREZ DO
Controlled Substance Registration for Practitioner


Address: 272 Allen Hill Rd, Brooklyn, CT 06234

ANDREA GUTIERREZ DO (Credential# 360828) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ANDREA GUTIERREZ DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034477. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 272 Allen Hill Rd, Brooklyn, CT 06234. The current status is active.

Basic Information

Licensee Name ANDREA GUTIERREZ DO
Credential ID 360828
Credential Number CSP.0034477
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 272 Allen Hill Rd
Brooklyn
CT 06234
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-01-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-26

Other licenses

ID Credential Code Credential Type Issue Term Status
559253 1.041670-DO Physician/Surgeon 2003-07-16 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 272 ALLEN HILL RD
City BROOKLYN
State CT
Zip Code 06234

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Laura D Engel 750 Hartford Road, Brooklyn, CT 06234 Professional Counselor 2020-08-01 ~ 2021-07-31
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Competitor

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City BROOKLYN
Zip Code 06234
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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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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