Frank Diaz Controlled Substance Registration for Practitioner
20 York St, New Haven, CT 065103220


Frank Diaz is licensed in the eLicensing system of Connecticut. The license credential ID is 1233568. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 20 York St, New Haven, CT 065103220. The zip code is 06510.


Frank Diaz · 20 York St, New Haven, CT 065103220

Credential ID 1233568
Name FRANK DIAZ
Type INDIVIDUAL
Address 20 YORK ST
NEW HAVEN, CT 065103220
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0057958
Credential Type CSP
Credential Number 57958
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 07/11/2014
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 03/05/201

street_number: 20
route: York Street (York St)
neighborhood, political: The Hill
locality, political: New Haven
admin_level_2, political: New Haven County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06510
postal_code_suffix: 3220
types : establishment, point_of_interest
latitude: 41.3037027
longitude: -72.9357982
latlng: (41.3037027, -72.9357982)


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