JASON R GUERCIO
Controlled Substance Registration for Practitioner


Address: 61 Ayrshire Lane, Avon, CT 06001

JASON R GUERCIO (Credential# 1292317) 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

JASON R GUERCIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060539. 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 61 Ayrshire Lane, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name JASON R GUERCIO
Credential ID 1292317
Credential Number CSP.0060539
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 Ayrshire Lane
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1269105 1.054212 Physician/Surgeon 2015-06-08 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 61 Ayrshire Lane
City Avon
State CT
Zip Code 06001

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Competitor

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City Avon
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Avon

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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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