JACQUELINE P TALBOT PA CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER

Address: 22 Woodridge Ln, New Fairfield, CT 068125033

JACQUELINE P TALBOT PA (Credential# 413962) is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER licensed with Connecticut Department of Consumer Protection. The license expiration date is 2019-02-28.

Business Overview

Name JACQUELINE P TALBOT PA
Credential ID 413962
Credential Code CSP.0038047
Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Address 22 Woodridge Ln
New Fairfield
CT 068125033
Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-08-22
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2017-02-23

Other licenses

ID Credential Code Credential Type Term Status
743407 23.001658 Physician Assistant 2017-04-01 - 2018-03-31 ACTIVE

Office Location

Street Address 22 WOODRIDGE LN
City NEW FAIRFIELD
State CT
Zip Code 068125033

Entities with the same location

Name Office Address Expiration Date
JACQUELINE P TALBOT PA 22 Woodridge Ln, New Fairfield, CT 068125033 2018-03-31
CARUSO RESTORATION LLC 22 Woodridge Ln, New Fairfield, CT 068125033 2016-11-30

Competitor

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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).