JENNIFER AYALA PA
Controlled Substance Registration for Practitioner


Address: 30 Sunset Terrace, Unionville, CT 06085

JENNIFER AYALA PA (Credential# 336529) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JENNIFER AYALA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033416. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 30 Sunset Terrace, Unionville, CT 06085. The current status is inactive.

Basic Information

Licensee Name JENNIFER AYALA PA
Credential ID 336529
Credential Number CSP.0033416
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Sunset Terrace
Unionville
CT 06085
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743033 23.001284 Physician Assistant 2002-11-06 2015-08-01 - 2016-07-31 INACTIVE
872112 70.980199 Emergency Medical Technician 1997-12-01 2005-02-17 - 2007-01-01 INACTIVE

Office Location

Street Address 30 SUNSET TERRACE
City UNIONVILLE
State CT
Zip Code 06085

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Competitor

Search similar business entities

City UNIONVILLE
Zip Code 06085
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + UNIONVILLE

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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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