JENNA WALD
Controlled Substance Registration for Practitioner


Address: 18 Maplewood Ave, West Hartford, CT 06119

JENNA WALD (Credential# 1175806) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JENNA WALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055638. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 18 Maplewood Ave, West Hartford, CT 06119. The current status is inactive.

Basic Information

Licensee Name JENNA WALD
Credential ID 1175806
Credential Number CSP.0055638
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 18 Maplewood Ave
West Hartford
CT 06119
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-07-25
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 18 maplewood ave
City West Hartford
State CT
Zip Code 06119

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Charles F Richmond 18 Maplewood Ave, West Hartford, CT 06100 Notary Public Appointment 1974-04-01 ~ 1979-03-31

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Competitor

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City West Hartford
Zip Code 06119
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford

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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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