ANNE MAE B CLIMACO
Controlled Substance Registration for Practitioner


Address: 1726 Hillfair Dr, Glendale, CA 91208-2710

ANNE MAE B CLIMACO (Credential# 447824) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ANNE MAE B CLIMACO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040407. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 1726 Hillfair Dr, Glendale, CA 91208-2710. The current status is inactive.

Basic Information

Licensee Name ANNE MAE B CLIMACO
Credential ID 447824
Credential Number CSP.0040407
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1726 Hillfair Dr
Glendale
CA 91208-2710
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-11-30
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565319 1.047737 Physician/Surgeon 2009-05-21 2013-05-01 - 2014-04-30 INACTIVE

Office Location

Street Address 1726 HILLFAIR DR
City GLENDALE
State CA
Zip Code 91208-2710

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John Karagozian 1540 Colina Dr, Glendale, CA 91208 Professional Engineer 1997-02-01 ~ 1998-01-31
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Geetha Puthenveetil 1717 N Verdugo Rd, Glendale, CA 91208-2943 Physician/surgeon 1999-08-03 ~ 2000-08-31

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Competitor

Search similar business entities

City GLENDALE
Zip Code 91208
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLENDALE

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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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