JONATHAN B REDENBAUGH DO
Controlled Substance Registration for Practitioner


Address: 100 Grand Street, New Britian, CT 06050

JONATHAN B REDENBAUGH DO (Credential# 447000) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JONATHAN B REDENBAUGH DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040242. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 100 Grand Street, New Britian, CT 06050. The current status is lapsed.

Basic Information

Licensee Name JONATHAN B REDENBAUGH DO
Credential ID 447000
Credential Number CSP.0040242
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 Grand Street
New Britian
CT 06050
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2006-11-27
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
562691 1.045109-DO Physician/Surgeon 2007-02-05 2017-08-01 - 2018-07-31 INACTIVE

Office Location

Street Address 100 Grand Street
City New Britian
State CT
Zip Code 06050

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Competitor

Search similar business entities

City New Britian
Zip Code 06050
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Britian

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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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