JACLYN S SMITH DVM
Controlled Substance Registration for Practitioner


Address: 158 Seaside Ave Unit B, Stamford, CT 06902-5333

JACLYN S SMITH DVM (Credential# 946204) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JACLYN S SMITH DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048392. The credential type is controlled substance registration for practitioner. The effective date is April 15, 2013. The expiration date is February 28, 2015. The business address is 158 Seaside Ave Unit B, Stamford, CT 06902-5333. The current status is inactive.

Basic Information

Licensee Name JACLYN S SMITH DVM
Credential ID 946204
Credential Number CSP.0048392
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 158 Seaside Ave Unit B
Stamford
CT 06902-5333
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-08-09
Effective Date 2013-04-15
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
932324 47.003532 Veterinarian 2010-07-01 2012-08-01 - 2013-07-31 INACTIVE

Office Location

Street Address 158 SEASIDE AVE UNIT B
City STAMFORD
State CT
Zip Code 06902-5333

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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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