JASON D SALTER DO
Controlled Substance Registration for Practitioner


Address: 52 Modena Ave, Providence, RI 02908-2015

JASON D SALTER DO (Credential# 533520) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JASON D SALTER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045551. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 52 Modena Ave, Providence, RI 02908-2015. The current status is inactive.

Basic Information

Licensee Name JASON D SALTER DO
Credential ID 533520
Credential Number CSP.0045551
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 52 Modena Ave
Providence
RI 02908-2015
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-06-08
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565184 1.047602-DO Physician/Surgeon 2009-04-22 2012-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 52 MODENA AVE
City PROVIDENCE
State RI
Zip Code 02908-2015

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Competitor

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City PROVIDENCE
Zip Code 02908
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE

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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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