JORDAN C COLLIER
Controlled Substance Registration for Practitioner


Address: 543 Main St Apt 400, New Rochelle, NY 10801-7264

JORDAN C COLLIER (Credential# 1175267) 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 C COLLIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055550. 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 543 Main St Apt 400, New Rochelle, NY 10801-7264. The current status is active.

Basic Information

Licensee Name JORDAN C COLLIER
Credential ID 1175267
Credential Number CSP.0055550
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 543 Main St Apt 400
New Rochelle
NY 10801-7264
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-08-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1173052 1.052328 Physician/Surgeon 2013-08-09 2019-01-01 - 2019-12-31 INACTIVE

Office Location

Street Address 543 MAIN ST APT 400
City NEW ROCHELLE
State NY
Zip Code 10801-7264

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Competitor

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City NEW ROCHELLE
Zip Code 10801
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW ROCHELLE

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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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