KELLY JARRETT
Controlled Substance Registration for Practitioner


Address: 380 Malcolm X Blvd, New York, NY 10027

KELLY JARRETT (Credential# 1358113) 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

KELLY JARRETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062974. 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 380 Malcolm X Blvd, New York, NY 10027. The current status is active.

Basic Information

Licensee Name KELLY JARRETT
Credential ID 1358113
Credential Number CSP.0062974
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 380 Malcolm X Blvd
New York
NY 10027
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-07-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-26

Other licenses

ID Credential Code Credential Type Issue Term Status
1344463 1.055406 Physician/Surgeon 2016-07-01 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 380 Malcolm X Blvd
City New York
State NY
Zip Code 10027

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Competitor

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City New York
Zip Code 10027
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York

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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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