JORDAN J GLEASON
Controlled Substance Registration for Practitioner


Address: 6 Obed Heights Rd, Old Saybrook, CT 06475

JORDAN J GLEASON (Credential# 1289936) 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

JORDAN J GLEASON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060531. 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 6 Obed Heights Rd, Old Saybrook, CT 06475. The current status is active.

Basic Information

Licensee Name JORDAN J GLEASON
Credential ID 1289936
Credential Number CSP.0060531
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6 Obed Heights Rd
Old Saybrook
CT 06475
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1044975 72.002802 Paramedic 2012-01-13 2019-10-01 - 2020-09-30 ACTIVE
1291246 23.003347 Physician Assistant 2015-06-22 2019-10-01 - 2020-09-30 ACTIVE
846963 70.007230 Emergency Medical Technician 2006-05-19 2009-11-25 - 2011-12-31 INACTIVE
822312 69.004889 Emergency Medical Responder 2004-11-17 2004-11-17 - 2006-09-30 INACTIVE

Office Location

Street Address 6 Obed Heights Rd
City Old Saybrook
State CT
Zip Code 06475

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Competitor

Search similar business entities

City Old Saybrook
Zip Code 06475
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Old Saybrook

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Jordan C Kawano 128 Nash St, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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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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