JESSY PAUL
Controlled Substance Registration for Practitioner


Address: 794 Klondike Avenue, Staten Island, NY 10314

JESSY PAUL (Credential# 1284859) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JESSY PAUL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060240. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 794 Klondike Avenue, Staten Island, NY 10314. The current status is lapsed.

Basic Information

Licensee Name JESSY PAUL
Credential ID 1284859
Credential Number CSP.0060240
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 794 Klondike Avenue
Staten Island
NY 10314
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-05-16
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1271890 1.054019 Physician/Surgeon 2015-04-17 2017-12-01 - 2018-11-30 INACTIVE

Office Location

Street Address 794 Klondike Avenue
City Staten Island
State NY
Zip Code 10314

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Competitor

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City Staten Island
Zip Code 10314
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Staten Island

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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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