GARLAND C JACKSON JR
Physician/surgeon


Address: 66 Woodfield Rd, Woodbridge, CT 06525

GARLAND C JACKSON JR (Credential# 548868) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2008. The license expiration date date is March 31, 2009. The license status is INACTIVE.

Business Overview

GARLAND C JACKSON JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031025. The credential type is physician/surgeon. The effective date is April 1, 2008. The expiration date is March 31, 2009. The business address is 66 Woodfield Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name GARLAND C JACKSON JR
Credential ID 548868
Credential Number 1.031025
Credential Type Physician/Surgeon
Business Address 66 Woodfield Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-08-10
Effective Date 2008-04-01
Expiration Date 2009-03-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162339 CSP.0020880 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 66 WOODFIELD RD
City WOODBRIDGE
State CT
Zip Code 06525

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBRIDGE

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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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