HANA EDELSON
Controlled Substance Registration for Practitioner


Address: 20 Old Quarry Rd, Guilford, CT 06437

HANA EDELSON (Credential# 162165) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

HANA EDELSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021712. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 20 Old Quarry Rd, Guilford, CT 06437. The current status is active.

Basic Information

Licensee Name HANA EDELSON
Credential ID 162165
Credential Number CSP.0021712
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Old Quarry Rd
Guilford
CT 06437
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-07

Other licenses

ID Credential Code Credential Type Issue Term Status
551029 1.033430 Physician/Surgeon 1993-11-26 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 20 OLD QUARRY RD
City GUILFORD
State CT
Zip Code 06437

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Competitor

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City GUILFORD
Zip Code 06437
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD

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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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