ANTONIO AGUILAR PA
Controlled Substance Registration for Practitioner


Address: 1500 Thames St Unit 202, Baltimore, MD 21231-3466

ANTONIO AGUILAR PA (Credential# 517657) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ANTONIO AGUILAR PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044780. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 1500 Thames St Unit 202, Baltimore, MD 21231-3466. The current status is inactive.

Basic Information

Licensee Name ANTONIO AGUILAR PA
Credential ID 517657
Credential Number CSP.0044780
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1500 Thames St Unit 202
Baltimore
MD 21231-3466
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-10-29
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743859 23.002110 Physician Assistant 2008-06-24 2010-11-01 - 2011-10-31 INACTIVE

Office Location

Street Address 1500 THAMES ST UNIT 202
City BALTIMORE
State MD
Zip Code 21231-3466

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Competitor

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City BALTIMORE
Zip Code 21231
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BALTIMORE

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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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