JASON M ANDREAS
Controlled Substance Registration for Practitioner


Address: 35 Oconnor Ave Apt 1r, Holyoke, MA 01040-3390

JASON M ANDREAS (Credential# 1427062) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 30, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JASON M ANDREAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065610. The credential type is controlled substance registration for practitioner. The effective date is May 30, 2017. The expiration date is February 28, 2019. The business address is 35 Oconnor Ave Apt 1r, Holyoke, MA 01040-3390. The current status is lapsed.

Basic Information

Licensee Name JASON M ANDREAS
Credential ID 1427062
Credential Number CSP.0065610
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 35 Oconnor Ave Apt 1r
Holyoke
MA 01040-3390
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-05-30
Effective Date 2017-05-30
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1489385 1.058591-RES Resident Physician 2017-07-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 35 OCONNOR AVE APT 1R
City HOLYOKE
State MA
Zip Code 01040-3390

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Competitor

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City HOLYOKE
Zip Code 01040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HOLYOKE

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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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