JACQUELINE CAMPISI
Controlled Substance Registration for Practitioner


Address: Po Box 475, Mystic, CT 06355-0475

JACQUELINE CAMPISI (Credential# 328128) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JACQUELINE CAMPISI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032994. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is Po Box 475, Mystic, CT 06355-0475. The current status is inactive.

Basic Information

Licensee Name JACQUELINE CAMPISI
Credential ID 328128
Credential Number CSP.0032994
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 475
Mystic
CT 06355-0475
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-03-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
762893 3.002263 Optometrist 1990-11-20 2014-06-01 - 2015-05-31 INACTIVE
891984 3 Optometrist - PENDING

Office Location

Street Address PO BOX 475
City MYSTIC
State CT
Zip Code 06355-0475

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Competitor

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City MYSTIC
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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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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