JASON ASSELIN
Controlled Substance Registration for Practitioner


Address: 57 Lake George Rd, Brookfield, CT 06804-3618

JASON ASSELIN (Credential# 1294548) 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 ASSELIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060677. 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 57 Lake George Rd, Brookfield, CT 06804-3618. The current status is active.

Basic Information

Licensee Name JASON ASSELIN
Credential ID 1294548
Credential Number CSP.0060677
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 57 Lake George Rd
Brookfield
CT 06804-3618
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-17
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
742712 23.000963 Physician Assistant 2000-06-15 2019-07-01 - 2020-06-30 ACTIVE
288879 CSP.0031439 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 57 LAKE GEORGE RD
City BROOKFIELD
State CT
Zip Code 06804-3618

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Eren Ceylan 53 Lake George Rd, Brookfield, CT 06804-3618 Registered Sanitarian 2020-08-01 ~ 2021-07-31
Daniel B Macdonald 39 Lake George Rd, Brookfield, CT 06804-3618 Advanced Emergency Medical Technician 2009-07-26 ~ 2011-07-01

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Competitor

Search similar business entities

City BROOKFIELD
Zip Code 06804
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD

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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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