JEROME GNANARAJ
Controlled Substance Registration for Practitioner


Address: 235 Seymour Ave, Derby, CT 06418-1325

JEROME GNANARAJ (Credential# 888149) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JEROME GNANARAJ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046094. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 235 Seymour Ave, Derby, CT 06418-1325. The current status is inactive.

Basic Information

Licensee Name JEROME GNANARAJ
Credential ID 888149
Credential Number CSP.0046094
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 235 Seymour Ave
Derby
CT 06418-1325
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-10-06
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

Street Address 235 SEYMOUR AVE
City DERBY
State CT
Zip Code 06418-1325

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Competitor

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City DERBY
Zip Code 06418
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DERBY

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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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