JANICE E BEAZLEY PA-C
Controlled Substance Registration for Practitioner


Address: 20 Cherry Hill Rd, Brooklyn, CT 06234-1405

JANICE E BEAZLEY PA-C (Credential# 497756) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JANICE E BEAZLEY PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043259. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 20 Cherry Hill Rd, Brooklyn, CT 06234-1405. The current status is inactive.

Basic Information

Licensee Name JANICE E BEAZLEY PA-C
Credential ID 497756
Credential Number CSP.0043259
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Cherry Hill Rd
Brooklyn
CT 06234-1405
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-03-25
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
742138 23.000389 Physician Assistant 1993-11-19 2015-07-01 - 2016-06-30 INACTIVE
759898 29.003497 Massage Therapist 2003-11-17 2004-07-16 - 2006-06-30 INACTIVE
162248 CSP.0022684 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-11-22 - 1996-07-01 INACTIVE

Office Location

Street Address 20 CHERRY HILL RD
City BROOKLYN
State CT
Zip Code 06234-1405

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Competitor

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City BROOKLYN
Zip Code 06234
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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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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