JEFFREY W WOLD
Controlled Substance Registration for Practitioner


Address: 25 Housatonic St, Lenox, MA 01230

JEFFREY W WOLD (Credential# 157463) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 5, 1995. The license expiration date date is February 28, 1996. The license status is INACTIVE.

Business Overview

JEFFREY W WOLD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019659. The credential type is controlled substance registration for practitioner. The effective date is June 5, 1995. The expiration date is February 28, 1996. The business address is 25 Housatonic St, Lenox, MA 01230. The current status is inactive.

Basic Information

Licensee Name JEFFREY W WOLD
Credential ID 157463
Credential Number CSP.0019659
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Housatonic St
Lenox
MA 01230
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-06-05
Expiration Date 1996-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
543123 1.019649 Physician/Surgeon 1991-08-09 1994-10-19 - 1995-10-31 INACTIVE

Office Location

Street Address 25 HOUSATONIC ST
City LENOX
State MA
Zip Code 01230

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Competitor

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City LENOX
Zip Code 01230
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LENOX

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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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