JEROME E WILLIAMS JR
Controlled Substance Registration for Practitioner


Address: 1521 Bridford Pkwy, Greensboro, NC 27407

JEROME E WILLIAMS JR (Credential# 163377) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

JEROME E WILLIAMS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022041. The credential type is controlled substance registration for practitioner. The effective date is May 1, 1996. The expiration date is February 28, 1997. The business address is 1521 Bridford Pkwy, Greensboro, NC 27407. The current status is inactive.

Basic Information

Licensee Name JEROME E WILLIAMS JR
Credential ID 163377
Credential Number CSP.0022041
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1521 Bridford Pkwy
Greensboro
NC 27407
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-05-01
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
550139 1.032534 Physician/Surgeon 1992-08-14 1995-07-12 - 1996-07-31 INACTIVE

Office Location

Street Address 1521 BRIDFORD PKWY
City GREENSBORO
State NC
Zip Code 27407

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Jennifer Edwards Golinski 10 Cardwell Pt, Greensboro, NC 27407 Registered Nurse 2020-01-01 ~ 2020-12-31
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Competitor

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City GREENSBORO
Zip Code 27407
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENSBORO

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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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