JASMIN JOSE PA
Controlled Substance Registration for Practitioner


Address: 1031 Maple Lane, New Hyde Park, NY 11040

JASMIN JOSE PA (Credential# 324476) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 11, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JASMIN JOSE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032849. The credential type is controlled substance registration for practitioner. The effective date is September 11, 2011. The expiration date is February 28, 2013. The business address is 1031 Maple Lane, New Hyde Park, NY 11040. The current status is inactive.

Basic Information

Licensee Name JASMIN JOSE PA
Credential ID 324476
Credential Number CSP.0032849
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1031 Maple Lane
New Hyde Park
NY 11040
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-09-11
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
742987 23.001238 Physician Assistant 2002-10-02 2012-01-01 - 2012-12-31 INACTIVE

Office Location

Street Address 1031 Maple Lane
City NEW HYDE PARK
State NY
Zip Code 11040

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Competitor

Search similar business entities

City NEW HYDE PARK
Zip Code 11040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HYDE PARK

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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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