MARJORIE JIMENEZ
Controlled Substance Registration for Practitioner


Address: 45 Lane Park, Brighton, MA 02135

MARJORIE JIMENEZ (Credential# 231701) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MARJORIE JIMENEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029302. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 45 Lane Park, Brighton, MA 02135. The current status is inactive.

Basic Information

Licensee Name MARJORIE JIMENEZ
Credential ID 231701
Credential Number CSP.0029302
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 45 Lane Park
Brighton
MA 02135
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
742675 23.000926 Physician Assistant 2000-01-26 2009-06-24 - 2010-07-31 INACTIVE

Office Location

Street Address 45 LANE PARK
City BRIGHTON
State MA
Zip Code 02135

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Competitor

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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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