HENRY W JUAN JR
Controlled Substance Registration for Practitioner


Address: 14 Lafayette Ct, Greenwich, CT 06830

HENRY W JUAN JR (Credential# 144020) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

HENRY W JUAN JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007570. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 14 Lafayette Ct, Greenwich, CT 06830. The current status is inactive.

Basic Information

Licensee Name HENRY W JUAN JR
Credential ID 144020
Credential Number CSP.0007570
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Lafayette Ct
Greenwich
CT 06830
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1997-03-01
Expiration Date 1998-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
699401 2.001944 Dentist 1943-06-26 1996-11-18 - 1997-12-31 INACTIVE

Office Location

Street Address 14 LAFAYETTE CT
City GREENWICH
State CT
Zip Code 06830

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City GREENWICH
Zip Code 06830
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH

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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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