JARED M SORENSEN
Controlled Substance Registration for Practitioner


Address: 1 Scott Dr, Bloomfield, CT 06002

JARED M SORENSEN (Credential# 888473) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 10, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

JARED M SORENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046123. The credential type is controlled substance registration for practitioner. The effective date is August 10, 2009. The expiration date is February 28, 2011. The business address is 1 Scott Dr, Bloomfield, CT 06002. The current status is inactive.

Basic Information

Licensee Name JARED M SORENSEN
Credential ID 888473
Credential Number CSP.0046123
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Scott Dr
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-08-10
Effective Date 2009-08-10
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 1 SCOTT DR
City BLOOMFIELD
State CT
Zip Code 06002

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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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