MERILDA O BLANCO-GUZMAN
Controlled Substance Registration for Practitioner


Address: 5800 Highlands Plaza Drive, Saint Louis, MO 63110

MERILDA O BLANCO-GUZMAN (Credential# 478992) 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

MERILDA O BLANCO-GUZMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042155. 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 5800 Highlands Plaza Drive, Saint Louis, MO 63110. The current status is inactive.

Basic Information

Licensee Name MERILDA O BLANCO-GUZMAN
Credential ID 478992
Credential Number CSP.0042155
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5800 Highlands Plaza Drive
Saint Louis
MO 63110
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-17
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
902593 1.048971 Physician/Surgeon 2010-07-08 2013-12-01 - 2014-11-30 INACTIVE

Office Location

Street Address 5800 HIGHLANDS PLAZA DRIVE
City SAINT LOUIS
State MO
Zip Code 63110

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Kevin R Mahoney Trauma Surgery #3fdt, St. Louis, MO 63110 Physician/surgeon 2008-10-10 ~ 2009-11-30
Spirco Services Inc. 4224 Clayton Avenue, St. Louis, MO 63110 Asbestos Contractor 1999-11-02 ~ 2000-12-31
Peter B Angood Dept of Surgery, St. Louis, MO 63110 Physician/surgeon 1999-11-01 ~ 2000-11-30
Spirtas 4224 Clayton Avenue, St Louis, MO 63110 Lead Abatement Contractor ~ 2000-04-30
David Mason & Associates Inc 800 S Vandeventer Ave, Saint Louis, MO 63110-1244 Professional Engineering Corporation 2020-07-20 ~ 2021-07-19
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Competitor

Search similar business entities

City SAINT LOUIS
Zip Code 63110
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAINT LOUIS

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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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