BENJAMIN WEISMAN MD (Credential# 153717) 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.
BENJAMIN WEISMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012514. 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 4699 Main Street, Bridgeport, CT 06606. The current status is active.
| Licensee Name | BENJAMIN WEISMAN MD |
| Credential ID | 153717 |
| Credential Number | CSP.0012514 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4699 Main Street Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545699 | 1.025872 | Physician/Surgeon | 1984-08-03 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 161959 | CSP.0021673 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE | |
| 378522 | CSP.0035625 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-09 | 2004-08-09 - 2005-02-28 | INACTIVE |
| 164303 | CSP.0022268 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-07-06 - 1996-05-01 | INACTIVE |
| Street Address | 4699 MAIN STREET |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gyeyee Shin Md | 4699 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jeffrey N Kaplan Md | 4699 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mehran Azar Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine J Pesce | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey R Sandler Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul A Possick Md | 4699 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2004-02-20 ~ 2005-04-30 |
| Susan S Cho Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Daniel Alkaitis Md · C/o Associated Neurology | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 1994-05-10 ~ 1996-06-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Weisman · Newtown Veterinary Specialists | 52 Church Hill Rd, Newtown, CT 06470-1622 | Controlled Substance Registration for Practitioner | 2015-12-07 ~ 2017-02-28 |
| Nicholas J. Weisman | 45 Nash St Apt 1, New Haven, CT 06511-2617 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tedd Weisman | 258 S. Broad St, Milford, CT 06460-3537 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven A Weisman Md | 41 Crossroads Plz Unit 213, West Hartford, CT 06117-2402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth M Weisman | 156 Hunters Ridge Road, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-06-17 ~ 2021-02-28 |
| Steven J Weisman Md | Yale Univ Anesthesiology Dept, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Benjamin Evenchik | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-11-14 ~ 2013-02-28 |
| Benjamin W Carelock Dpm | 57 Nash St # 3, New Haven, CT 06511-2617 | Controlled Substance Registration for Practitioner | 2011-04-11 ~ 2013-02-28 |
| Benjamin L Kliot | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Benjamin Timungwa | 17 Carmel St, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).