BERNARDO SELIM
Controlled Substance Registration for Practitioner


Address: 3061 Avalon Cove Ct Nw, Rochester, MN 55901

BERNARDO SELIM (Credential# 465127) 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.

Business Overview

BERNARDO SELIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041216. 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 3061 Avalon Cove Ct Nw, Rochester, MN 55901. The current status is inactive.

Basic Information

Licensee Name BERNARDO SELIM
Credential ID 465127
Credential Number CSP.0041216
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3061 Avalon Cove Ct Nw
Rochester
MN 55901
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-03-14
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
562448 1.044866 Physician/Surgeon 2006-10-30 2011-08-01 - 2012-07-31 INACTIVE

Office Location

Street Address 3061 Avalon Cove CT NW
City Rochester
State MN
Zip Code 55901

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Erin Friling 2649 11th Ave Nw, Rochester, MN 55901 Registered Nurse 2014-11-18 ~ 2015-06-30
Marian Mocanu Md 3161 Avalon Cove Ct Nw, Rochester, MN 55901 Controlled Substance Registration for Practitioner 2009-05-01 ~ 2011-02-28
Mary M Volcheck 116 12th Ave Nw, Rochester, MN 55901 Registered Nurse 1992-03-24 ~ 1993-02-28
Jessica Mitchell 931 16th Ave Ne, Rochester, MN 55901 Registered Nurse 2004-09-24 ~ 2005-09-30
Bella C Mariscal 1826 37th St.nw., Rochester, MN 55901 Registered Nurse 1997-11-17 ~ 1999-01-31
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City Rochester
Zip Code 55901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Rochester

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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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