JEFFREY HOOGSTRA MD
Controlled Substance Registration for Practitioner


Address: 365 Elm St, West Haven, CT 06516

JEFFREY HOOGSTRA MD (Credential# 146251) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

JEFFREY HOOGSTRA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012091. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 365 Elm St, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name JEFFREY HOOGSTRA MD
Credential ID 146251
Credential Number CSP.0012091
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 365 Elm St
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
545244 1.024899 Physician/Surgeon 1983-09-06 1998-10-14 - 1999-12-31 INACTIVE

Office Location

Street Address 365 ELM ST
City WEST HAVEN
State CT
Zip Code 06516

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Thomas Etkin Md 365 Elm St, West Haven, CT 06516 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28

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Competitor

Search similar business entities

City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST 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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