JORDAN A CONRAD (Credential# 1118283) 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.
JORDAN A CONRAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053526. 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 265 Cedar Heights Dr, Duncansville, PA 16635-4627. The current status is inactive.
| Licensee Name | JORDAN A CONRAD |
| Credential ID | 1118283 |
| Credential Number | CSP.0053526 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
265 Cedar Heights Dr Duncansville PA 16635-4627 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-08-21 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1082636 | 23.002789 | Physician Assistant | 2012-08-01 | 2013-06-01 - 2014-05-31 | INACTIVE |
| Street Address | 265 CEDAR HEIGHTS DR |
| City | DUNCANSVILLE |
| State | PA |
| Zip Code | 16635-4627 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| P Joseph Lehman Inc Consulting Engineers | Rte 22 Wye Switches, Duncansville, PA 16635 | Professional Engineering Corporation | 2009-11-17 ~ 2010-11-17 |
| Toni A Tennent | 810 Noelani Dr, Duncansville, PA 16635-1478 | Physical Therapist Assistant | 2010-06-01 ~ 2011-05-31 |
| Value Drug Company | 195 Theater Dr, Duncansville, PA 16635-7144 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Gillian E Benton | 1105 Wade Ln, Duncansville, PA 16635-7607 | Registered Nurse | 2014-04-01 ~ 2015-03-31 |
| Shirley A Cooper | 101 Deville Dr Apt 2, Duncansville, PA 16635-7951 | Registered Nurse - Temporary | 2014-07-30 ~ 2014-11-26 |
| Value Specialty Pharmacy | 1333 Plank Rd Ste 200, Duncansville, PA 16635-8456 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| City | DUNCANSVILLE |
| Zip Code | 16635 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DUNCANSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Conrad Md | Po Box 747, Koloa, HI 96756 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Conrad D Collins | 7 North Washington St, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2015-04-09 ~ 2017-02-28 |
| Stephanie Conrad | 1351 Washington Blvd, Stamford, CT 06902-2419 | Controlled Substance Registration for Practitioner | 2019-02-25 ~ 2021-02-28 |
| Jordan M Vanlare | 790 Riverside Dr Apt 6l, New York, NY 10032-7437 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Jordan J Hirsch | 73 Market St, Yonkers, NY 10710-7616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan C Collier | 543 Main St Apt 400, New Rochelle, NY 10801-7264 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan J. Wong | 204-14 26th Ave., Bayside, NY 11360 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jordan S L Silberg | 275 Winchester Ave Apt 221, New Haven, CT 06511-1995 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| B Bryan Jordan Do | 55 Wagonwheel Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter W Gardner | 92 Jordan Ln, Stamford, CT 06903-3914 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JORDAN A CONRAD.
| 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).