JAMES R BERRY
Controlled Substance Registration for Practitioner


Address: 211 Banks Rd, Easton, CT 06612-1627

JAMES R BERRY (Credential# 1175034) 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.

Business Overview

JAMES R BERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055485. 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 211 Banks Rd, Easton, CT 06612-1627. The current status is active.

Basic Information

Licensee Name JAMES R BERRY
Credential ID 1175034
Credential Number CSP.0055485
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 211 Banks Rd
Easton
CT 06612-1627
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-07-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1627797 1.064448 Physician/Surgeon 2019-10-17 2019-10-17 - 2020-07-31 ACTIVE
1488348 1.057743-RES Resident Physician 2013-07-01 2013-07-01 - 2019-06-30 INACTIVE

Office Location

Street Address 211 BANKS RD
City EASTON
State CT
Zip Code 06612-1627

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Philip M Battaglia 209 Banks Rd, Easton, CT 06612-1627 Engineer-in-training ~

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Competitor

Search similar business entities

City EASTON
Zip Code 06612
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EASTON

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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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