JENNIFER E ANGELL APRN
Controlled Substance Registration for Practitioner


Address: 5031 Park Lake Dr Apt 6, Melbourne, FL 32901-8480

JENNIFER E ANGELL APRN (Credential# 470313) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

JENNIFER E ANGELL APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041470. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 5031 Park Lake Dr Apt 6, Melbourne, FL 32901-8480. The current status is inactive.

Basic Information

Licensee Name JENNIFER E ANGELL APRN
Credential ID 470313
Credential Number CSP.0041470
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5031 Park Lake Dr Apt 6
Melbourne
FL 32901-8480
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-05-09
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
681747 12.003569 Advanced Practice Registered Nurse 2007-02-01 2010-01-01 - 2010-12-31 INACTIVE
575740 10.071734 Registered Nurse 2003-07-30 2010-01-01 - 2010-12-31 INACTIVE

Office Location

Street Address 5031 PARK LAKE DR APT 6
City MELBOURNE
State FL
Zip Code 32901-8480

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Competitor

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City MELBOURNE
Zip Code 32901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MELBOURNE

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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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