JENIFER K. LINGEMAN MD
Controlled Substance Registration for Practitioner


Address: 87 Q St Apt 1, Salt Lake City, UT 84103-3999

JENIFER K. LINGEMAN MD (Credential# 980107) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JENIFER K. LINGEMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049486. The credential type is controlled substance registration for practitioner. The effective date is January 14, 2011. The expiration date is February 28, 2013. The business address is 87 Q St Apt 1, Salt Lake City, UT 84103-3999. The current status is inactive.

Basic Information

Licensee Name JENIFER K. LINGEMAN MD
Credential ID 980107
Credential Number CSP.0049486
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 87 Q St Apt 1
Salt Lake City
UT 84103-3999
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-01-14
Effective Date 2011-01-14
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
976956 1.049405 Physician/Surgeon 2010-12-21 2010-12-21 - 2011-12-31 INACTIVE

Office Location

Street Address 87 Q ST APT 1
City SALT LAKE CITY
State UT
Zip Code 84103-3999

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Competitor

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City SALT LAKE CITY
Zip Code 84103
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SALT LAKE CITY

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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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