JAMILAH A. ALEXANDER PA
Controlled Substance Registration for Practitioner


Address: 17 Oconnor Ave., Holyoke, MA 01040

JAMILAH A. ALEXANDER PA (Credential# 162687) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

JAMILAH A. ALEXANDER PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021876. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 17 Oconnor Ave., Holyoke, MA 01040. The current status is inactive.

Basic Information

Licensee Name JAMILAH A. ALEXANDER PA
Credential ID 162687
Credential Number CSP.0021876
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 17 Oconnor Ave.
Holyoke
MA 01040
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
742139 23.000390 Physician Assistant 1993-11-19 2007-10-22 - 2008-11-30 INACTIVE

Office Location

Street Address 17 OCONNOR AVE.
City HOLYOKE
State MA
Zip Code 01040

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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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