JASON MARK ZIEGLER
Controlled Substance Registration for Practitioner


Address: 519 New London Rd., Mystic, CT 06355

JASON MARK ZIEGLER (Credential# 1790245) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JASON MARK ZIEGLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072517. The credential type is controlled substance registration for practitioner. The effective date is October 1, 2019. The expiration date is February 28, 2021. The business address is 519 New London Rd., Mystic, CT 06355. The current status is active.

Basic Information

Licensee Name JASON MARK ZIEGLER
Credential ID 1790245
Credential Number CSP.0072517
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 519 New London Rd.
Mystic
CT 06355
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-10-01
Effective Date 2019-10-01
Expiration Date 2021-02-28
Refresh Date 2019-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1684563 1.064296 Physician/Surgeon 2019-09-25 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 519 New London Rd.
City Mystic
State CT
Zip Code 06355

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Competitor

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City Mystic
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Mystic

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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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