JENNIFER R WALDMANN
Controlled Substance Registration for Practitioner


Address: 808 Old Corlies Ave, Neptune, NJ 07753

JENNIFER R WALDMANN (Credential# 1352647) 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 INACTIVE.

Business Overview

JENNIFER R WALDMANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062693. 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 808 Old Corlies Ave, Neptune, NJ 07753. The current status is inactive.

Basic Information

Licensee Name JENNIFER R WALDMANN
Credential ID 1352647
Credential Number CSP.0062693
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 808 Old Corlies Ave
Neptune
NJ 07753
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2016-06-28
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1488916 1.058311-RES Resident Physician 2016-06-28 2016-06-28 - 2019-06-30 INACTIVE

Office Location

Street Address 808 OLD CORLIES AVE
City NEPTUNE
State NJ
Zip Code 07753

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Competitor

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City NEPTUNE
Zip Code 07753
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEPTUNE

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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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