JONATHAN BAUMAN MD
Controlled Substance Registration for Practitioner


Address: Putnam Family & Community Services, Carmel, NY 10512

JONATHAN BAUMAN MD (Credential# 172898) 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

JONATHAN BAUMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024411. 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 Putnam Family & Community Services, Carmel, NY 10512. The current status is inactive.

Basic Information

Licensee Name JONATHAN BAUMAN MD
Credential ID 172898
Credential Number CSP.0024411
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Putnam Family & Community Services
Carmel
NY 10512
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
552747 1.035153 Physician/Surgeon 1996-03-29 2014-07-01 - 2015-06-30 INACTIVE

Office Location

Street Address Putnam Family & Community Services
City Carmel
State NY
Zip Code 10512

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Competitor

Search similar business entities

City Carmel
Zip Code 10512
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Carmel

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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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