JESSICA V MERKEL-KELLER
Controlled Substance Registration for Practitioner


Address: 1502 Park Ave, Baltimore, MD 21217-4237

JESSICA V MERKEL-KELLER (Credential# 1384985) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 27, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JESSICA V MERKEL-KELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064228. The credential type is controlled substance registration for practitioner. The effective date is March 27, 2017. The expiration date is February 28, 2019. The business address is 1502 Park Ave, Baltimore, MD 21217-4237. The current status is lapsed.

Basic Information

Licensee Name JESSICA V MERKEL-KELLER
Credential ID 1384985
Credential Number CSP.0064228
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1502 Park Ave
Baltimore
MD 21217-4237
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-11-18
Effective Date 2017-03-27
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1382983 1.055922 Physician/Surgeon 2016-11-17 2017-05-01 - 2018-04-30 INACTIVE

Office Location

Street Address 1502 PARK AVE
City BALTIMORE
State MD
Zip Code 21217-4237

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Competitor

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City BALTIMORE
Zip Code 21217
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BALTIMORE

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Ira S Merkel 441-75 So Main Stre, Manchester, CT 06040 Controlled Substance Registration for Practitioner 1995-01-18 ~ 1996-02-28
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Jessica E. Most 58 Housatonic Dr, Milford, CT 06460-5034 Controlled Substance Registration for Practitioner 2013-06-12 ~ 2015-02-28
Jessica M Hu 100 Temple St Apt 208, New Haven, CT 06510-2728 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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