LEO H BERMAN MD
Controlled Substance Registration for Practitioner


Address: 19 Otter Trail, Westport, CT 06880

LEO H BERMAN MD (Credential# 151054) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

LEO H BERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006193. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 19 Otter Trail, Westport, CT 06880. The current status is inactive.

Basic Information

Licensee Name LEO H BERMAN MD
Credential ID 151054
Credential Number CSP.0006193
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 19 Otter Trail
Westport
CT 06880
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
538685 1.006502 Physician/Surgeon 1950-09-05 2000-11-15 - 2002-01-31 INACTIVE

Office Location

Street Address 19 OTTER TRAIL
City WESTPORT
State CT
Zip Code 06880

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Competitor

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City WESTPORT
Zip Code 06880
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT

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Alan N Berman 40 Old Ridgebury Rd Ste 101, Danbury, CT 06810-5119 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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David M Berman Dds 120 East 34th St, New York, NY 10016 Controlled Substance Registration for Practitioner 1996-07-02 ~ 1997-02-28
Paul E Berman Md 14 Joval St, East Lyme, CT 06333 Controlled Substance Registration for Practitioner 2002-03-01 ~ 2003-02-28
Steven Berman Md 28 Darling Crossing, Norwich, CT 06360 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
Donald E Berman 207 Pepper Ridge Rd, Stamford, CT 06905-2806 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Elliot S Berman Dds 928 Farmington Ave, West Hartford, CT 06107 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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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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