FLORENCE MARIE JAFFA
Controlled Substance Registration for Practitioner


Address: 7556 Teague Rd Ste 450, Hanover, MD 21076-1968

FLORENCE MARIE JAFFA (Credential# 2033945) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 7, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

FLORENCE MARIE JAFFA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073537. The credential type is controlled substance registration for practitioner. The effective date is April 7, 2020. The expiration date is February 28, 2021. The business address is 7556 Teague Rd Ste 450, Hanover, MD 21076-1968. The current status is active.

Basic Information

Licensee Name FLORENCE MARIE JAFFA
Credential ID 2033945
Credential Number CSP.0073537
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7556 Teague Rd Ste 450
Hanover
MD 21076-1968
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-04-07
Effective Date 2020-04-07
Expiration Date 2021-02-28
Refresh Date 2020-04-08

Other licenses

ID Credential Code Credential Type Issue Term Status
2013279 1.065158-DO Physician/Surgeon 2020-04-06 2020-04-06 - 2020-10-31 ACTIVE

Office Location

Street Address 7556 TEAGUE RD STE 450
City HANOVER
State MD
Zip Code 21076-1968

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Rachel Gilligan 6039 River Birch Ct, Hanover, MD 21076 Registered Nurse 2017-02-01 ~ 2018-01-31
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Competitor

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City HANOVER
Zip Code 21076
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HANOVER

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Russell R Jaicks 514 H So Dargan St, Florence, SC 29501 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28
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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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