JORDAN EVERETT ROSS
Controlled Substance Registration for Practitioner


Address: 1379 Boulevard, West Hartford, CT 06119

JORDAN EVERETT ROSS (Credential# 1144032) 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

JORDAN EVERETT ROSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054107. 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 1379 Boulevard, West Hartford, CT 06119. The current status is active.

Basic Information

Licensee Name JORDAN EVERETT ROSS
Credential ID 1144032
Credential Number CSP.0054107
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1379 Boulevard
West Hartford
CT 06119
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-02-22
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-09-20

Other licenses

ID Credential Code Credential Type Issue Term Status
1133540 12.005296 Advanced Practice Registered Nurse 2013-02-14 2019-12-01 - 2020-11-30 ACTIVE
1126240 10.108870 Registered Nurse 2012-11-01 2019-12-01 - 2020-11-30 ACTIVE
1127173 10.108602-TEMP Registered Nurse - Temporary 2012-10-11 2012-10-11 - 2013-02-08 INACTIVE

Office Location

Street Address 1379 Boulevard
City WEST HARTFORD
State CT
Zip Code 06119

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Emily A Mellor 1379 Boulevard, West Hartford, CT 06119 Registered Nurse 2020-04-01 ~ 2021-03-31

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Stephen R Dewey 68 Richard St, W Hartford, CT 06119 Architect 2020-08-01 ~ 2021-07-31
James E Vance Jr 9 Plymouth Rd, W Hartford, CT 06119 Architect 2020-08-01 ~ 2021-07-31
Mark D Hirsch 105 Griswold Dr, W Hartford, CT 06119 Architect 2020-08-01 ~ 2021-07-31
Judith Briggs 29 Troy St, West Hartford, CT 06119 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City WEST HARTFORD
Zip Code 06119
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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