BERNARD G PARK
Controlled Substance Registration for Practitioner


Address: 79a Norwich Ave, Colchester, CT 06415-0193

BERNARD G PARK (Credential# 148000) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

BERNARD G PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006857. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 79a Norwich Ave, Colchester, CT 06415-0193. The current status is inactive.

Basic Information

Licensee Name BERNARD G PARK
Credential ID 148000
Credential Number CSP.0006857
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 79a Norwich Ave
Colchester
CT 06415-0193
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 1999-03-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
699915 2.003512 Dentist 1961-07-06 2015-09-01 - 2016-08-31 INACTIVE

Office Location

Street Address 79A NORWICH AVE
City COLCHESTER
State CT
Zip Code 06415-0193

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Michael L Babinski Dmd 79a Norwich Ave, Colchester, CT 06415 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Brenda L Shapiro 79a Norwich Ave, Colchester, CT 06415-1276 Psychologist 2020-01-01 ~ 2020-12-31

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Competitor

Search similar business entities

City COLCHESTER
Zip Code 06415
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLCHESTER

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Bernard A Burnham 314 Main St, Oakville, CT 06779 Controlled Substance Registration for Practitioner 1994-06-08 ~ 1996-07-01
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Bernard D Bienstock Md 387 Ellsworth Ave, New Haven, CT 06511 Controlled Substance Registration for Practitioner 1994-06-28 ~ 1996-07-01
Bernard Simelton 263 Farmington Ave, Hartford, CT 06105-3440 Controlled Substance Registration for Practitioner 2011-05-11 ~ 2013-02-28
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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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