Wynn K Jackson Md Controlled Substance Registration for Practitioner
2 Benedict Place, Greenwich, CT 06830


Wynn K Jackson Md is licensed in the eLicensing system of Connecticut. The license credential ID is 159663. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 2 Benedict Place, Greenwich, CT 06830. The zip code is 06830.


Wynn K Jackson Md · 2 Benedict Place, Greenwich, CT 06830

Credential ID 159663
Name WYNN K JACKSON MD
Type INDIVIDUAL
Address 2 BENEDICT PLACE
GREENWICH, CT 06830
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0018311
Credential Type CSP
Credential Number 18311
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 03/01/2003
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/26/201

Zip 06830 · Controlled Substance Registration for Practitioner · Connecticut Business

Kim M Nichols · Controlled Substance Registration for Practitioner 469 W Putnam Ave Ste 201, Greenwich, CT 068306896
William H Hampton Md · Controlled Substance Registration for Practitioner 38 Lake Ave, Greenwich, CT 06830
Kimberly A. Basile · Controlled Substance Registration for Practitioner 5 Perryridge Road, Greenwich, CT 06830
Kimberly A Gropp · Controlled Substance Registration for Practitioner 70 Parsonage Rd, Greenwich, CT 068303941
Julie Clarke · Controlled Substance Registration for Practitioner 5 Perryridge Rd, Greenwich, CT 068304608
Lauren Carton · Controlled Substance Registration for Practitioner 644 W Putnam Ave, Greenwich, CT 068306088
Gavin Mcleod · Controlled Substance Registration for Practitioner 5 Perryridge Rd, Greenwich, CT 068304608
Christopher M Edelmann Md · Controlled Substance Registration for Practitioner 42 Sherwood Pl, Greenwich, CT 06830
Sarah S Esaa · Controlled Substance Registration for Practitioner 5 Perryridge Rd Rm 1-3217, Greenwich, CT 068304608
David Pereira · Controlled Substance Registration for Practitioner 40 West Elm St, Greenwich, CT 06830
Brian B Agbor-etang · Controlled Substance Registration for Practitioner 5 Perryridge Rd, Greenwich, CT 068304608
Donald Lombino Md · Controlled Substance Registration for Practitioner 111a Connecticut Ave, Greenwich, CT 068305710
Irene Yu Md · Controlled Substance Registration for Practitioner Greenwich Hospital, Greenwich, CT 06830
Arthur L. Jenkins · Controlled Substance Registration for Practitioner 251 Shore Rd, Greenwich, CT 068306329
Maya N Fakhoury · Controlled Substance Registration for Practitioner 5 Perryridge Rd, Greenwich, CT 068304608
Nelson Bonheim Md · Controlled Substance Registration for Practitioner 500 West Putnam Avenue/suite 100, Greenwich, CT 06830
Julie H.y. Huang · Controlled Substance Registration for Practitioner 2 E Elm St Apt 46, Greenwich, CT 068306528
Orlaith M. Carr · Controlled Substance Registration for Practitioner 430 W Putnam, Greenwich, CT 06830
Alvin A Rosenfeld · Controlled Substance Registration for Practitioner 17 Sherwood Place, Greenwich, CT 06830
Mark Hwang · Controlled Substance Registration for Practitioner 5 Perryridge Rd, Greenwich, CT 068304608