JEFFREY E INDES
Controlled Substance Registration for Practitioner


Address: 16 Mulligan Drive, Wallingford, CT 06492

JEFFREY E INDES (Credential# 497606) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JEFFREY E INDES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043245. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 16 Mulligan Drive, Wallingford, CT 06492. The current status is lapsed.

Basic Information

Licensee Name JEFFREY E INDES
Credential ID 497606
Credential Number CSP.0043245
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16 Mulligan Drive
Wallingford
CT 06492
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2008-03-24
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
563836 1.046254 Physician/Surgeon 2008-02-28 2018-01-01 - 2018-12-31 INACTIVE

Office Location

Street Address 16 Mulligan Drive
City Wallingford
State CT
Zip Code 06492

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Competitor

Search similar business entities

City Wallingford
Zip Code 06492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wallingford

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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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