JACQUELINE M YOUSEF
Controlled Substance Registration for Practitioner


Address: 117 Cottage Rd, Madison, CT 06443-3424

JACQUELINE M YOUSEF (Credential# 1303445) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 5, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JACQUELINE M YOUSEF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061219. The credential type is controlled substance registration for practitioner. The effective date is August 5, 2015. The expiration date is February 28, 2017. The business address is 117 Cottage Rd, Madison, CT 06443-3424. The current status is inactive.

Basic Information

Licensee Name JACQUELINE M YOUSEF
Credential ID 1303445
Credential Number CSP.0061219
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 117 Cottage Rd
Madison
CT 06443-3424
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-08-05
Effective Date 2015-08-05
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1299573 23.003390 Physician Assistant 2015-07-27 2015-07-27 - 2016-05-31 INACTIVE

Office Location

Street Address 117 COTTAGE RD
City MADISON
State CT
Zip Code 06443-3424

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Daniel Yousef 117 Cottage Rd, Madison, CT 06443-3424 Pharmacy Technician 2008-04-21 ~ 2009-03-31

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Competitor

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City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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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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