JOSE G BEJARANO MD (Credential# 1004008) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JOSE G BEJARANO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050533. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2 Main St Unit 507, Edgewater, NJ 07020. The current status is active.
| Licensee Name | JOSE G BEJARANO MD |
| Credential ID | 1004008 |
| Credential Number | CSP.0050533 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Main St Unit 507 Edgewater NJ 07020 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-06-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 984870 | 1.049913 | Physician/Surgeon | 2011-06-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 2 Main St unit 507 |
| City | Edgewater |
| State | NJ |
| Zip Code | 07020 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katarzyna A Lossa | 415 Chase Court, Edgewater, NJ 07020 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Jyothi B Rayaprolu | 46 Myrtle Ave, Edgewater, NJ 07020 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Babak Ahmadi | 200 Grand Cove Way, Edgewater, NJ 07020 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Lisa Ha | 426 Portside Drive, Edgewater, NJ 07020 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Paul M. Sarlo | 19 Mariners Cove, Edgewater, NJ 07020 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Thomas J Clancy | 100 Grand Cove Way, Edgewater, NJ 07020 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Hiroko Marianne Yasuda | 1055 River Road, Edgewater, NJ 07020 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Brian F Murphy · Nuclear Enrgy Srv Div of Qlcrp | 24 Colony Rd Box 215, Edgewater, NJ 07020 | Professional Engineer | 1989-02-22 ~ 1990-01-31 |
| Alicia Pak | 504 Ellery Court, Edgewater, NJ 07020 | Acupuncturist | 2012-12-01 ~ 2014-11-30 |
| Brian J Chang | 260 Old River Road #3, Edgewater, NJ 07020 | Acupuncturist | 2011-10-01 ~ 2013-09-30 |
| Find all Licenses in zip 07020 | |||
| City | Edgewater |
| Zip Code | 07020 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Edgewater |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose M Mullen Md | Po Box 387, Colchester, CT 06415 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jose Azocar | 330 Main St Ste 101, Hartford, CT 06106-1860 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Soni Jose | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2009-03-12 ~ 2011-02-28 |
| Jose D Rosa Do | 644 Riverside Dr Apt 11d, New York, NY 10031-6931 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose E Santoro | 50 Alden Av, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jose L Dacosta Md | 117 Westwood Dr, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jose Calderon Md | 401 Copse Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jose A Estela Md | 94 Bellevue Ave, Bristol, CT 06010-5816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose M Pimiento Md | 83 Newfield Ave Apt 25, Waterbury, CT 06708-2333 | Controlled Substance Registration for Practitioner | 2009-03-20 ~ 2011-02-28 |
| Jose G Mejia Md | 350 W 50th St Apt 3ee, New York, NY 10019-6694 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).