GABRIEL B JACOBS
Controlled Substance Registration for Practitioner


Address: 80 Howe St Apt 100, New Haven, CT 06511-4630

GABRIEL B JACOBS (Credential# 972189) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 17, 2010. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

GABRIEL B JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049213. The credential type is controlled substance registration for practitioner. The effective date is December 17, 2010. The expiration date is February 28, 2013. The business address is 80 Howe St Apt 100, New Haven, CT 06511-4630. The current status is inactive.

Basic Information

Licensee Name GABRIEL B JACOBS
Credential ID 972189
Credential Number CSP.0049213
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 80 Howe St Apt 100
New Haven
CT 06511-4630
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-12-17
Effective Date 2010-12-17
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

Street Address 80 HOWE ST APT 100
City NEW HAVEN
State CT
Zip Code 06511-4630

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Competitor

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City NEW HAVEN
Zip Code 06511
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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