RALPH J CAPRA PA
Controlled Substance Registration for Practitioner


Address: 5392 65th Pl, Maspeth, NY 11378-1655

RALPH J CAPRA PA (Credential# 395230) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 5, 2012. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

RALPH J CAPRA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036999. The credential type is controlled substance registration for practitioner. The effective date is July 5, 2012. The expiration date is February 28, 2013. The business address is 5392 65th Pl, Maspeth, NY 11378-1655. The current status is inactive.

Basic Information

Licensee Name RALPH J CAPRA PA
Credential ID 395230
Credential Number CSP.0036999
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5392 65th Pl
Maspeth
NY 11378-1655
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-02-04
Effective Date 2012-07-05
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743300 23.001551 Physician Assistant 2004-10-25 2010-02-01 - 2011-01-31 EXPIRED APPLICATION

Office Location

Street Address 5392 65TH PL
City MASPETH
State NY
Zip Code 11378-1655

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Competitor

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City MASPETH
Zip Code 11378
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MASPETH

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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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