EDSELL C BERNARDO MD
Controlled Substance Registration for Practitioner


Address: 2 Tailwinds Ln, Westerly, RI 02891-2068

EDSELL C BERNARDO MD (Credential# 1005493) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

EDSELL C BERNARDO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050629. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 2 Tailwinds Ln, Westerly, RI 02891-2068. The current status is inactive.

Basic Information

Licensee Name EDSELL C BERNARDO MD
Credential ID 1005493
Credential Number CSP.0050629
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2 Tailwinds Ln
Westerly
RI 02891-2068
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-07-11
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
564453 1.046871 Physician/Surgeon 2008-08-01 2013-09-01 - 2014-08-31 INACTIVE

Office Location

Street Address 2 TAILWINDS LN
City WESTERLY
State RI
Zip Code 02891-2068

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Competitor

Search similar business entities

City WESTERLY
Zip Code 02891
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTERLY

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Dataset Information

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).

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