DEBORAH ROTH BERRY
Controlled Substance Registration for Practitioner


Address: 467 Sylvan Knoll Road, Stamford, CT 06902

DEBORAH ROTH BERRY (Credential# 1595575) 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.

Business Overview

DEBORAH ROTH BERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069411. 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 467 Sylvan Knoll Road, Stamford, CT 06902. The current status is active.

Basic Information

Licensee Name DEBORAH ROTH BERRY
Credential ID 1595575
Credential Number CSP.0069411
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 467 Sylvan Knoll Road
Stamford
CT 06902
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-08-27
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-13

Other licenses

ID Credential Code Credential Type Issue Term Status
1512155 23.004214 Physician Assistant 2018-08-24 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 467 Sylvan Knoll Road
City Stamford
State CT
Zip Code 06902

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Competitor

Search similar business entities

City Stamford
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stamford

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Amy M Roth 257 New Britain Ave, Unionville, CT 06085-1274 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Toni C Roth 547 Paxonhallow Rd, Broomell, PA 19008 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
Stanley Roth Md 586 Lake Dr, Guilford, CT 06437 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Zachary M Roth 56 Ledgewood Dr East, Weston, CT 06883-1132 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Malcolm S Roth 33 Saddle Ridge, Bloomfield, CT 06002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Anne G Roth 90 Crescent Way, Monroe Township, NJ 08831 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Stefanie Z Roth Md 7 Alden Avenue, New Haven, CT 06515 Controlled Substance Registration for Practitioner 2001-03-01 ~ 2002-02-28
Roth O. Owen Aprn Po Box 310139, New Braunfels, TX 78131-0139 Controlled Substance Registration for Practitioner 2011-03-18 ~ 2013-02-28
Brandon Roth 20 York St Tompkins 226, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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