HARVEY JACONSON MD
Controlled Substance Registration for Practitioner


Address: 12 Alden Ave, New Haven, CT 06515

HARVEY JACONSON MD (Credential# 143083) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 29, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

HARVEY JACONSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007273. The credential type is controlled substance registration for practitioner. The effective date is November 29, 1995. The expiration date is February 28, 1997. The business address is 12 Alden Ave, New Haven, CT 06515. The current status is inactive.

Basic Information

Licensee Name HARVEY JACONSON MD
Credential ID 143083
Credential Number CSP.0007273
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Alden Ave
New Haven
CT 06515
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1995-11-29
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Office Location

Street Address 12 ALDEN AVE
City NEW HAVEN
State CT
Zip Code 06515

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Harvey Jacobson 12 Alden Ave, New Haven, CT 06515 Physician/surgeon 1995-08-22 ~ 1996-08-31

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06515
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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