Jacqueline Ortiz-skenderidis Controlled Substance Registration for Practitioner
32 Cherry Brook Rd, Canton, CT 06019


Jacqueline Ortiz-skenderidis is licensed in the eLicensing system of Connecticut. The license credential ID is 1166273. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 32 Cherry Brook Rd, Canton, CT 06019. The zip code is 06019.


Jacqueline Ortiz-skenderidis · 32 Cherry Brook Rd, Canton, CT 06019

Credential ID 1166273
Name JACQUELINE ORTIZ-SKENDERIDIS
Type INDIVIDUAL
Address 32 CHERRY BROOK RD
CANTON, CT 06019
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0054761
Credential Type CSP
Credential Number 54761
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 06/05/2013
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 08/20/201

JACQUELINE ORTIZ-SKENDERIDIS · Connecticut Business

Jacqueline Ortiz-skenderidis · Advanced Practice Registered Nurse 32 Cherry Brook Rd, Canton, CT 06019
Jacqueline Ortiz-skenderidis · Registered Nurse 32 Cherry Brook Rd, Canton, CT 06019

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