JENNY FEDERMAN
Controlled Substance Registration for Practitioner


Address: 60 Old New Milford Rd #1d, Brookfield, CT 06804

JENNY FEDERMAN (Credential# 174719) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JENNY FEDERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024452. The credential type is controlled substance registration for practitioner. The effective date is April 1, 2013. The expiration date is February 28, 2015. The business address is 60 Old New Milford Rd #1d, Brookfield, CT 06804. The current status is inactive.

Basic Information

Licensee Name JENNY FEDERMAN
Credential ID 174719
Credential Number CSP.0024452
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 Old New Milford Rd #1d
Brookfield
CT 06804
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-01
Effective Date 2013-04-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address 60 OLD NEW MILFORD RD #1D
City BROOKFIELD
State CT
Zip Code 06804

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Competitor

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City BROOKFIELD
Zip Code 06804
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD

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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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