JONATHAN S PETROVER
Controlled Substance Registration for Practitioner


Address: 7456 Dublin Drive, Boca Raton, FL 33433

JONATHAN S PETROVER (Credential# 164467) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 15, 1994. The license expiration date date is December 1, 1996. The license status is INACTIVE.

Business Overview

JONATHAN S PETROVER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021425. The credential type is controlled substance registration for practitioner. The effective date is November 15, 1994. The expiration date is December 1, 1996. The business address is 7456 Dublin Drive, Boca Raton, FL 33433. The current status is inactive.

Basic Information

Licensee Name JONATHAN S PETROVER
Credential ID 164467
Credential Number CSP.0021425
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7456 Dublin Drive
Boca Raton
FL 33433
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-11-15
Expiration Date 1996-12-01
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
702307 2.007835 Dentist 1992-08-04 1995-06-27 - 1996-06-30 INACTIVE

Office Location

Street Address 7456 DUBLIN DRIVE
City BOCA RATON
State FL
Zip Code 33433

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Competitor

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City BOCA RATON
Zip Code 33433
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOCA RATON

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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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