ALEXANDER BONDARENKO
Controlled Substance Registration for Practitioner


Address: 42 Cypress St, Jersey City, NJ 07305

ALEXANDER BONDARENKO (Credential# 1377665) 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

ALEXANDER BONDARENKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063983. 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 42 Cypress St, Jersey City, NJ 07305. The current status is active.

Basic Information

Licensee Name ALEXANDER BONDARENKO
Credential ID 1377665
Credential Number CSP.0063983
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 42 Cypress St
Jersey City
NJ 07305
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-09-21
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1313929 23.003487 Physician Assistant 2015-12-02 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 42 Cypress St
City Jersey City
State NJ
Zip Code 07305

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Charmaine S Bernabe 317 Danforth Avenue, Jersey City, NJ 07305 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Atiya Patterson 185 Arlington Avenue, Jersey City, NJ 07305 Registered Nurse 2020-01-08 ~ 2021-01-31
Annie Mulvaney 58 A Suburbia Dr, Jersey City, NJ 07305 Physician Assistant 2018-10-01 ~ 2019-09-30
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Competitor

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City Jersey City
Zip Code 07305
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Jersey City

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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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