DARYL D MCCLENDON
Controlled Substance Registration for Practitioner


Address: 148 1st Street, Jersey City, NJ 07302

DARYL D MCCLENDON (Credential# 1270451) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DARYL D MCCLENDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059657. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 148 1st Street, Jersey City, NJ 07302. The current status is active.

Basic Information

Licensee Name DARYL D MCCLENDON
Credential ID 1270451
Credential Number CSP.0059657
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 148 1st Street
Jersey City
NJ 07302
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-03-05
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1263130 1.053889-DO Physician/Surgeon 2015-03-03 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 148 1st Street
City Jersey City
State NJ
Zip Code 07302

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Gina Westmoreland 100 Warren Street, Jersey City, NJ 07302 Registered Nurse - Temporary 2019-10-18 ~ 2020-02-15
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Marc A Remo 155 Washington Street #1201, Jersey City, NJ 07302 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

Search similar business entities

City Jersey City
Zip Code 07302
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Jersey City

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Daryl W Westerback Md 20 Club Lane, Cheshire, CT 06410 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28
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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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