BERNARD D RAXLEN MD (Credential# 151642) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
BERNARD D RAXLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009796. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 123 W 79th St Ph 1, New York, NY 10024-6485. The current status is inactive.
| Licensee Name | BERNARD D RAXLEN MD |
| Credential ID | 151642 |
| Credential Number | CSP.0009796 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
123 W 79th St Ph 1 New York NY 10024-6485 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - SURRENDERED |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2011-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541908 | 1.016443 | Physician/Surgeon | 1973-12-20 | 2007-10-11 - 2008-10-31 | INACTIVE |
| Street Address | 123 W 79TH ST PH 1 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-6485 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Saul Zion | 2166 Broadway, New York, NY 10024 | Physical Therapist | ~ |
| Antonia Molyneux Devine | 35 West 90th Street, New York, NY 10024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Dennis Hunsicker | 46 West 83 Street, 5e, New York, NY 10024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Leonard Fusco | 344 West 87th St Apt 2r, New York, NY 10024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Care Cooperative, Inc. | 366 Amsterdam Avenue, New York, NY 10024 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| Christina M Luban | 142 W 82nd St, New York, NY 10024 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Mary-jo Amatruda | 15 W. 81st Street, New York, NY 10024 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
| Regina Jamieson | 50 Riverside Drive, New York, NY 10024 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Carolyn A Clyons | 203 West 85th Street, New York, NY 10024 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Danielle S Lurie | 241 Central Park West 15c, New York, NY 10024 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Find all Licenses in zip 10024 | |||
| City | NEW YORK |
| Zip Code | 10024 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bernard Simelton | 263 Farmington Ave, Hartford, CT 06105-3440 | Controlled Substance Registration for Practitioner | 2011-05-11 ~ 2013-02-28 |
| Sophie Bernard | 205 Church St Apt 7l, New Haven, CT 06510-1884 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bernard A Rawlins | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bernard Sheehan Md | 40 Bridge St, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Bernard D Bienstock Md | 387 Ellsworth Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-06-28 ~ 1996-07-01 |
| Bernard G Park | 79a Norwich Ave, Colchester, CT 06415-0193 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Bernard Kramer Md | 15 South Elm St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Bernard S Salameh | 111 Park St, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Bernard A Burnham | 314 Main St, Oakville, CT 06779 | Controlled Substance Registration for Practitioner | 1994-06-08 ~ 1996-07-01 |
| Bernard Percarpio Md | Box 2076, New Castle, NH 03854 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on BERNARD D RAXLEN MD.
| 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).