JEAN W CRANDALL APRN
Controlled Substance Registration for Practitioner


Address: 75 Westminster Drive, Yonkers, NY 10710

JEAN W CRANDALL APRN (Credential# 336099) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

JEAN W CRANDALL APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033380. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 75 Westminster Drive, Yonkers, NY 10710. The current status is inactive.

Basic Information

Licensee Name JEAN W CRANDALL APRN
Credential ID 336099
Credential Number CSP.0033380
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75 Westminster Drive
Yonkers
NY 10710
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
681025 12.002847 Advanced Practice Registered Nurse 2003-03-11 2004-06-14 - 2005-08-31 INACTIVE
574690 10.070683 Registered Nurse 2003-02-20 2004-06-14 - 2005-08-31 INACTIVE

Office Location

Street Address 75 WESTMINSTER DRIVE
City YONKERS
State NY
Zip Code 10710

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Competitor

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City YONKERS
Zip Code 10710
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + YONKERS

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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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