DEREK M BIEDERMAN MD (Credential# 1075713) 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.
DEREK M BIEDERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052529. 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 2800 Main Street, Bridgeport, CT 06606-4201. The current status is inactive.
| Licensee Name | DEREK M BIEDERMAN MD |
| Credential ID | 1075713 |
| Credential Number | CSP.0052529 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2800 Main Street Bridgeport CT 06606-4201 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-06-22 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| Street Address | 2800 MAIN STREET |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivek Kesari | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Kalpana Shah | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Yassir J Ahmad | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Pankaj Nepal | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Simon Castro | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-08-24 |
| Dena Asaad Reiter | 2800 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sumara Imtiaz Choudhry | 2800 Main Street, Bridgeport, CT 06610-1662 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Maureen Mansour | 2800 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Reba Varughese | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Sylvester Dorobisz | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vahab Nemati | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Thomas A. Raskauskas | 2754 Main St, Bridgeport, CT 06606-4201 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Deborah T Akanya | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Ryan T Sieberg | 2800 Main St Level 3 Medical Ed, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Millicent Amankwah | 2800 Main St # Lv3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arsalan A Alvi | 2800 Main St Dept Medicine, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Arnaldo A Rodriguez Rivera | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Edin Adilovic | 2800 Main St Fl 3, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Michael Chau Viray Md | 2800 Main St # 3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Armais Akovbyan | 2800 Main Street, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 06606-4201 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derek R Corporon | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-06-18 ~ 2021-02-28 |
| Derek Y. Obayashi | 282 Washington St Ste 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Derek H Cheng | 266 Seymour Ave, Derby, CT 06418-1332 | Controlled Substance Registration for Practitioner | 2013-06-27 ~ 2015-02-28 |
| Derek S. Shia | 9 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek L Isenberg Md | 464 Congress Ave., Suite 260, New Haven, CT 06517 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Derek William Donovan | 484 Middletown Rd, Colchester, CT 06415-2230 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek B Rosner | 26 Gin Still Lane, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Derek T Nguyen | 6 Rock Road, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek A Sanders | 185 Florence St, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2006-07-31 ~ 2007-02-28 |
| Derek S Wolfe | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DEREK M BIEDERMAN MD.
| 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).