ROWENA E J DESAILLY-CHANSON MD
Controlled Substance Registration for Practitioner


Address: 157 Leeder Hill Dr Apt 705, Hamden, CT 06517-2767

ROWENA E J DESAILLY-CHANSON MD (Credential# 320365) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

ROWENA E J DESAILLY-CHANSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032720. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 157 Leeder Hill Dr Apt 705, Hamden, CT 06517-2767. The current status is inactive.

Basic Information

Licensee Name ROWENA E J DESAILLY-CHANSON MD
Credential ID 320365
Credential Number CSP.0032720
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 157 Leeder Hill Dr Apt 705
Hamden
CT 06517-2767
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-03-01
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
558547 1.040964 Physician/Surgeon 2002-11-20 2005-11-25 - 2007-01-31 INACTIVE

Office Location

Street Address 157 LEEDER HILL DR APT 705
City HAMDEN
State CT
Zip Code 06517-2767

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Jessica K. Yearwood 157 Leeder Hill Dr Apt 702, Hamden, CT 06517-2767 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28

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Competitor

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City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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