COLLEEN J JAMBOR MD
Controlled Substance Registration for Practitioner


Address: 97 Spring Wood Ln, Bloomfield, CT 06002-1162

COLLEEN J JAMBOR MD (Credential# 412605) 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

COLLEEN J JAMBOR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037910. 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 97 Spring Wood Ln, Bloomfield, CT 06002-1162. The current status is active.

Basic Information

Licensee Name COLLEEN J JAMBOR MD
Credential ID 412605
Credential Number CSP.0037910
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 97 Spring Wood Ln
Bloomfield
CT 06002-1162
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-08-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-04

Other licenses

ID Credential Code Credential Type Issue Term Status
561248 1.043666 Physician/Surgeon 2005-07-21 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 97 SPRING WOOD LN
City BLOOMFIELD
State CT
Zip Code 06002-1162

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Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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