JENNIFER P HSU MD
Physician/surgeon


Address: 1690 Dixwell Ave., Apt 29, Hamden, CT 06514

JENNIFER P HSU MD (Credential# 565381) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2010. The license expiration date date is November 30, 2011. The license status is INACTIVE.

Business Overview

JENNIFER P HSU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047799. The credential type is physician/surgeon. The effective date is December 1, 2010. The expiration date is November 30, 2011. The business address is 1690 Dixwell Ave., Apt 29, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name JENNIFER P HSU MD
Credential ID 565381
Credential Number 1.047799
Credential Type Physician/Surgeon
Business Address 1690 Dixwell Ave., Apt 29
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-06-11
Effective Date 2010-12-01
Expiration Date 2011-11-30
Refresh Date 2012-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
537565 CSP.0045896 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-07-20 2009-07-20 - 2011-02-28 INACTIVE
446059 CSP.0039744 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-10-25 2006-10-25 - 2007-02-28 INACTIVE

Office Location

Street Address 1690 Dixwell Ave., Apt 29
City Hamden
State CT
Zip Code 06514

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Competitor

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City Hamden
Zip Code 06514
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Hamden

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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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