JENNIFER A DIGIACOMO
Controlled Substance Registration for Practitioner


Address: 27 Oak St Ste D, Stamford, CT 06905-5304

JENNIFER A DIGIACOMO (Credential# 169335) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JENNIFER A DIGIACOMO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024160. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 27 Oak St Ste D, Stamford, CT 06905-5304. The current status is lapsed.

Basic Information

Licensee Name JENNIFER A DIGIACOMO
Credential ID 169335
Credential Number CSP.0024160
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 27 Oak St Ste D
Stamford
CT 06905-5304
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
702686 2.008224 Dentist 1996-03-08 2017-11-01 - 2018-10-31 INACTIVE

Office Location

Street Address 27 OAK ST STE D
City STAMFORD
State CT
Zip Code 06905-5304

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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