JESSIE C LONG
Controlled Substance Registration for Practitioner


Address: 2028 Chapel Street, New Haven, CT 06515

JESSIE C LONG (Credential# 479488) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JESSIE C LONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042302. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 2028 Chapel Street, New Haven, CT 06515. The current status is inactive.

Basic Information

Licensee Name JESSIE C LONG
Credential ID 479488
Credential Number CSP.0042302
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2028 Chapel Street
New Haven
CT 06515
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-30
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
932780 1.048814 Physician/Surgeon 2010-05-27 2013-06-01 - 2014-05-31 INACTIVE

Office Location

Street Address 2028 CHAPEL STREET
City NEW HAVEN
State CT
Zip Code 06515

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Jessica L Feinleib 72 Barnett, New Haven, CT 06515 Physician/surgeon 2020-04-01 ~ 2021-03-31
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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06515
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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