CYNTHIA L JENSON MD
Controlled Substance Registration for Practitioner


Address: 434 Main St, Waterville, ME 04901-4118

CYNTHIA L JENSON MD (Credential# 497614) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

CYNTHIA L JENSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043251. The credential type is controlled substance registration for practitioner. The effective date is March 19, 2008. The expiration date is February 28, 2009. The business address is 434 Main St, Waterville, ME 04901-4118. The current status is inactive.

Basic Information

Licensee Name CYNTHIA L JENSON MD
Credential ID 497614
Credential Number CSP.0043251
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 434 Main St
Waterville
ME 04901-4118
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-03-19
Effective Date 2008-03-19
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
563776 1.046194 Physician/Surgeon 2008-02-01 2008-02-01 - 2009-02-28 INACTIVE

Office Location

Street Address 434 MAIN ST
City WATERVILLE
State ME
Zip Code 04901-4118

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Competitor

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City WATERVILLE
Zip Code 04901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERVILLE

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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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