CHARLES W JENSEN III
Controlled Substance Registration for Practitioner


Address: Dearfield Med Bldg, Greenwich, CT 06831

CHARLES W JENSEN III (Credential# 155879) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 7, 1994. The license expiration date date is December 1, 1996. The license status is INACTIVE.

Business Overview

CHARLES W JENSEN III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015374. The credential type is controlled substance registration for practitioner. The effective date is November 7, 1994. The expiration date is December 1, 1996. The business address is Dearfield Med Bldg, Greenwich, CT 06831. The current status is inactive.

Basic Information

Licensee Name CHARLES W JENSEN III
Credential ID 155879
Credential Number CSP.0015374
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Dearfield Med Bldg
Greenwich
CT 06831
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-11-07
Expiration Date 1996-12-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
701793 2.007058 Dentist 1987-06-25 1994-08-04 - 1995-08-31 INACTIVE

Office Location

Street Address DEARFIELD MED BLDG
City GREENWICH
State CT
Zip Code 06831

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Charles W Jensen Jr Dearfield Med Bldg, Greenwich, CT 06831 Controlled Substance Registration for Practitioner 1993-11-03 ~ 1995-12-01

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Deborah Alza 10 Buena Vista Drive, Greenwich, CT 06831 Notary Public Appointment 2020-05-01 ~ 2025-04-30
Hy Pomerance 55a Byram Terrace Drive, Greenwich, CT 06831 Psychologist 2020-09-01 ~ 2021-08-31
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Competitor

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City GREENWICH
Zip Code 06831
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Charles W Jensen Jr Dearfield Med Bldg, Greenwich, CT 06831 Controlled Substance Registration for Practitioner 1993-11-03 ~ 1995-12-01
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Rachel A Jensen 177 Glenwood Rd, Clinton, CT 06413-1424 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Abigail L Jensen 9 Lexington Dr, East Granby, CT 06026-9548 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter R. Jensen Md 184 Canoe Hill Rd, New Canaan, CT 06840-3706 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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