JENIA JENAB-WOLCOTT MD
Controlled Substance Registration for Practitioner


Address: 1611 Aspen Glen Dr, Hamden, CT 06518

JENIA JENAB-WOLCOTT MD (Credential# 444562) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 15, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

JENIA JENAB-WOLCOTT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039511. The credential type is controlled substance registration for practitioner. The effective date is August 15, 2006. The expiration date is February 28, 2007. The business address is 1611 Aspen Glen Dr, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name JENIA JENAB-WOLCOTT MD
Credential ID 444562
Credential Number CSP.0039511
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1611 Aspen Glen Dr
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-08-15
Effective Date 2006-08-15
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 1611 ASPEN GLEN DR
City HAMDEN
State CT
Zip Code 06518

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Lynda Burke 68 Linden Avenue, Hamden, CT 06518 Notary Public Appointment 2011-12-08 ~ 2016-12-31
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Competitor

Search similar business entities

City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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