JONATHAN C ALLEN MD
Controlled Substance Registration for Practitioner


Address: 883 Paddock Avenue, Meriden, CT 06450

JONATHAN C ALLEN MD (Credential# 331301) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JONATHAN C ALLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033153. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 883 Paddock Avenue, Meriden, CT 06450. The current status is active.

Basic Information

Licensee Name JONATHAN C ALLEN MD
Credential ID 331301
Credential Number CSP.0033153
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 883 Paddock Avenue
Meriden
CT 06450
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-01-30
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-28

Other licenses

ID Credential Code Credential Type Issue Term Status
558637 1.041054 Physician/Surgeon 2003-01-02 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 883 PADDOCK AVENUE
City MERIDEN
State CT
Zip Code 06450

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Rodrigo Villegas 883 Paddock Avenue, Meriden, CT 06450 Master's Level Social Worker 2019-09-03 ~ 2020-09-30
Midstate Behavioral Health System Inc.. 883 Paddock Avenue, Meriden, CT 06450 Public Charity 2005-10-01 ~ 2006-11-30
Lawrence Rossi 883 Paddock Avenue, Meriden, CT 06450 Physician/surgeon 2005-07-07 ~ 2006-08-31

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Kristina Rodriguez 51 Hobart St., Waterbury, CT 06450 Medication Administration Certification 2018-07-24 ~ 2020-07-23
Agatha V Pestilli 148 Alexander Dr, Meriden, CT 06450 Architect 2020-08-01 ~ 2021-07-31
Wayne M Flis 250 Liberty St. #1, Meriden, CT 06450 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
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Competitor

Search similar business entities

City MERIDEN
Zip Code 06450
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERIDEN

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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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