Jennifer E Taylor Controlled Substance Registration for Practitioner
47 Ledyard Road, West Hartford, CT 06117


Jennifer E Taylor is licensed in the eLicensing system of Connecticut. The license credential ID is 1081192. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 47 Ledyard Road, West Hartford, CT 06117. The zip code is 06117.


Jennifer E Taylor · 47 Ledyard Road, West Hartford, CT 06117

Credential ID 1081192
Name JENNIFER E TAYLOR
Type INDIVIDUAL
Address 47 Ledyard Road
West Hartford, CT 06117
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0052986
Credential Type CSP
Credential Number 52986
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 07/23/2012
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 03/03/201

JENNIFER E TAYLOR · Connecticut Business

Jennifer E Taylor · Physician/surgeon 47 Ledyard Road, West Hartford, CT 06117

Zip 06117 · Controlled Substance Registration for Practitioner · Connecticut Business

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