JESSICA L WAGNER
Controlled Substance Registration for Practitioner


Address: 227 Church St Apt 7c, New Haven, CT 06510

JESSICA L WAGNER (Credential# 446100) 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

JESSICA L WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039778. 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 227 Church St Apt 7c, New Haven, CT 06510. The current status is inactive.

Basic Information

Licensee Name JESSICA L WAGNER
Credential ID 446100
Credential Number CSP.0039778
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 227 Church St Apt 7c
New Haven
CT 06510
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-10-12
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other locations

Licensee Name Office Address Credential Effective / Expiration
Jessica L Wagner 224 Westerly Ter, Colchester, CT 06415-1409 Tattoo Technician 2019-10-01 ~ 2021-09-30

Office Location

Street Address 227 CHURCH ST APT 7C
City NEW HAVEN
State CT
Zip Code 06510

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Competitor

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City NEW HAVEN
Zip Code 06510
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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