BERNARD B JORDAN (Credential# 1400256) 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.
BERNARD B JORDAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064676. 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 Bridgeport Hospital, Bridgeport, CT 06610. The current status is active.
| Licensee Name | BERNARD B JORDAN |
| Credential ID | 1400256 |
| Credential Number | CSP.0064676 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Bridgeport Hospital Bridgeport CT 06610 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-01-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 538179 | 1.000444-DO | Physician/Surgeon | 1996-05-03 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | BRIDGEPORT HOSPITAL |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Park Avenue Medical Center | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ashwin Deshmukh | Bridgeport Hospital, Bridgeport, CT 06610-0120 | Controlled Substance Registration for Practitioner | 2019-06-28 ~ 2021-02-28 |
| Steven L. Belmont | Bridgeport Hospital, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vinson T Varughese | Bridgeport Hospital, Bridgeport, CT 06610 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
| Maximilian Klein | Bridgeport Hospital, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Shawn Nguyen | Bridgeport Hospital, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Tess T Jacob | Bridgeport Hospital, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2015-04-13 ~ 2017-02-28 |
| Benjamin E Bailey | Bridgeport Hospital, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Arti Singh | Bridgeport Hospital, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2012-10-03 ~ 2013-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Belma Dedovic | 68 Barclay St, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bernard A Rawlins | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bernard G Fish | 67 Sand Pit Rd Ste 204, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Bernard Simelton | 263 Farmington Ave, Hartford, CT 06105-3440 | Controlled Substance Registration for Practitioner | 2011-05-11 ~ 2013-02-28 |
| Bernard G Park | 79a Norwich Ave, Colchester, CT 06415-0193 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Roshoyah A Bernard | 100 Temple St Ph 11, New Haven, CT 06510-2711 | Controlled Substance Registration for Practitioner | 2019-10-24 ~ 2021-02-28 |
| Sophie Bernard | 205 Church St Apt 7l, New Haven, CT 06510-1884 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bernard Percarpio Md | Box 2076, New Castle, NH 03854 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Bernard D Bienstock Md | 387 Ellsworth Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-06-28 ~ 1996-07-01 |
| Bernard S Salameh | 111 Park St, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Bernard Kramer Md | 15 South Elm St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Please comment or provide details below to improve the information on BERNARD B JORDAN.
| 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).