JOHN BEAN PA
CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER

Address: 290 Farmingberry Drive, Marion, CT 064440512

JOHN BEAN PA (Credential# 161716) is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER licensed with Connecticut Department of Consumer Protection. The license expiration date is 2019-02-28.

Business Overview

Name JOHN BEAN PA
Credential ID 161716
Credential Code CSP.0021610
Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Address 290 Farmingberry Drive
Marion
CT 064440512
Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2017-02-12

Other licenses

ID Credential Code Credential Type Term Status
741943 23.000194 Physician Assistant 2017-11-01 - 2018-10-31 ACTIVE

Office Location

Street Address 290 Farmingberry Drive
City Marion
State CT
Zip Code 064440512

Entities with the same location

Name Office Address Expiration Date
JOHN BEAN PA 290 Farmingberry Drive, Marion, CT 064440512 2018-10-31

Competitor

Search similar business entities

City Marion
Zip Code 06444
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Marion

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).