JOY A EGBERTSON
Controlled Substance Registration for Practitioner


Address: 110 Evans Rd - #4, Brighton, MA 02135-7361

JOY A EGBERTSON (Credential# 209359) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

JOY A EGBERTSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027970. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 110 Evans Rd - #4, Brighton, MA 02135-7361. The current status is inactive.

Basic Information

Licensee Name JOY A EGBERTSON
Credential ID 209359
Credential Number CSP.0027970
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 110 Evans Rd - #4
Brighton
MA 02135-7361
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2009-03-19

Other licenses

ID Credential Code Credential Type Issue Term Status
742576 23.000827 Physician Assistant 1999-01-22 2008-02-22 - 2008-12-18 INACTIVE
2020432 70 Emergency Medical Technician - PENDING

Office Location

Street Address 110 EVANS RD - #4
City BRIGHTON
State MA
Zip Code 02135-7361

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City BRIGHTON
Zip Code 02135
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIGHTON

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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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