JAYSHREE J NOVAK
Controlled Substance Registration for Practitioner


Address: 1076 Carol Lane, Lafayette, CA 94549

JAYSHREE J NOVAK (Credential# 162451) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 1, 1994. The license expiration date date is October 1, 1995. The license status is INACTIVE.

Business Overview

JAYSHREE J NOVAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021828. The credential type is controlled substance registration for practitioner. The effective date is February 1, 1994. The expiration date is October 1, 1995. The business address is 1076 Carol Lane, Lafayette, CA 94549. The current status is inactive.

Basic Information

Licensee Name JAYSHREE J NOVAK
Credential ID 162451
Credential Number CSP.0021828
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1076 Carol Lane
Lafayette
CA 94549
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-02-01
Expiration Date 1995-10-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
551015 1.033416 Physician/Surgeon 1993-11-12 1994-08-01 - 1995-05-31 INACTIVE

Office Location

Street Address 1076 CAROL LANE
City LAFAYETTE
State CA
Zip Code 94549

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Jon A Rosso 532 Silverado Drive, Lafayette, CA 94549 Professional Engineer 1996-02-01 ~ 1997-01-31
Ralph Mason 3190 Diablo View Rd, Lafayette, CA 94549 Professional Engineer 2003-02-01 ~ 2004-01-31
Gregory S Mason 3468 Mt Diablo Blvd B120, Lafayette, CA 94549 Professional Engineer 2009-02-01 ~ 2010-01-31
Elizabeth A Mcvay 3188 Surmont Drive, Lafayette, CA 94549 Registered Nurse 2012-07-01 ~ 2013-06-30
Diane C Pennington 4 Toledo Drive, Lafayette, CA 94549 Registered Nurse 2007-09-18 ~ 2008-11-30
Mary D Baird 36 Toledo Drive, Lafayette, CA 94549 Registered Nurse 2004-03-29 ~ 2005-05-31
Laurence R Kelley 3244 Glenside Dr, Lafayette, CA 94549 Physician/surgeon 1989-04-25 ~ 1995-05-31
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Competitor

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City LAFAYETTE
Zip Code 94549
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAFAYETTE

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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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