ADAM M BERG
Controlled Substance Registration for Practitioner


Address: 83 Morris St Apt 1, Hamden, CT 06517

ADAM M BERG (Credential# 479725) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ADAM M BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042428. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 83 Morris St Apt 1, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name ADAM M BERG
Credential ID 479725
Credential Number CSP.0042428
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 83 Morris St Apt 1
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-02-13
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 83 MORRIS ST APT 1
City HAMDEN
State CT
Zip Code 06517

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Competitor

Search similar business entities

City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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