JESSICA M. CLEMENT
Controlled Substance Registration for Practitioner


Address: 376 Tolland Turnpike, Manchester, CT 06042

JESSICA M. CLEMENT (Credential# 943775) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JESSICA M. CLEMENT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048001. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 376 Tolland Turnpike, Manchester, CT 06042. The current status is active.

Basic Information

Licensee Name JESSICA M. CLEMENT
Credential ID 943775
Credential Number CSP.0048001
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 376 Tolland Turnpike
Manchester
CT 06042
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-07-19
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
928087 1.048978 Physician/Surgeon 2010-07-09 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 376 Tolland Turnpike
City Manchester
State CT
Zip Code 06042

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Competitor

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City Manchester
Zip Code 06042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Manchester

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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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