CATALINA VAZQUEZ MD
Controlled Substance Registration for Practitioner


Address: 4 Birch Rd, South Salem, NY 10590

CATALINA VAZQUEZ MD (Credential# 463062) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 4, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

CATALINA VAZQUEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041128. The credential type is controlled substance registration for practitioner. The effective date is March 4, 2008. The expiration date is February 28, 2009. The business address is 4 Birch Rd, South Salem, NY 10590. The current status is inactive.

Basic Information

Licensee Name CATALINA VAZQUEZ MD
Credential ID 463062
Credential Number CSP.0041128
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Birch Rd
South Salem
NY 10590
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-02-15
Effective Date 2008-03-04
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
562539 1.044957 Physician/Surgeon 2006-12-12 2007-10-01 - 2008-09-30 INACTIVE

Office Location

Street Address 4 BIRCH RD
City SOUTH SALEM
State NY
Zip Code 10590

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Alice B Gottlieb 51 Twin Lakes Rd, South Salem, NY 10590 Physician/surgeon 2020-08-01 ~ 2021-07-31
Lorraine M Gengo 65 Grandview Road, South Salem, NY 10590 Massage Therapist 2020-06-01 ~ 2022-05-31
Jon C Jensen 11 Elmwood Rd, South Salem, NY 10590 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Ann Marie Sementilli 14 East Street, South Salem, NY 10590 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Louis M Galasso 162 Journeys End Rd, South Salem, NY 10590 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
Bozena Piechota 4 Rainbow Hill Road, South Salem, NY 10590 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jane H Wakeman 457 Smith Ridge Rd., South Salem, NY 10590 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Mark A Caviola 14 North Lake Circle, South Salem, NY 10590 Sub-surface Sewage Installer 2020-08-01 ~ 2021-07-31
Ann M Nolan 171journey's End Road, South Salem, NY 10590 Physical Therapist 2020-07-01 ~ 2021-06-30
Denise T Mackin 2 Country Lane, South Salem, NY 10590 Notary Public Appointment 2020-07-01 ~ 2025-06-30
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Competitor

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City SOUTH SALEM
Zip Code 10590
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH SALEM

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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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