GINA M HAYDEN
Controlled Substance Registration for Practitioner


Address: 1 Bradley Street, Westport, CT 06880

GINA M HAYDEN (Credential# 162563) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 4, 1997. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

GINA M HAYDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023709. The credential type is controlled substance registration for practitioner. The effective date is March 4, 1997. The expiration date is February 28, 1997. The business address is 1 Bradley Street, Westport, CT 06880. The current status is inactive.

Basic Information

Licensee Name GINA M HAYDEN
Credential ID 162563
Credential Number CSP.0023709
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Bradley Street
Westport
CT 06880
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Effective Date 1997-03-04
Expiration Date 1997-02-28
Refresh Date 2008-07-15

Other licenses

ID Credential Code Credential Type Issue Term Status
552437 1.034841 Physician/Surgeon 1995-09-01 1995-11-09 - 1996-11-30 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Gina M Hayden 422 Casady Dr., Republic, MO 65738 Hairdresser/cosmetician 2007-11-29 ~ 2010-01-31

Office Location

Street Address 1 BRADLEY STREET
City WESTPORT
State CT
Zip Code 06880

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Competitor

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City WESTPORT
Zip Code 06880
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT

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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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