JOSHUA H BILENKER MD
Controlled Substance Registration for Practitioner


Address: 57 Urban Street, Stamford, CT 06905

JOSHUA H BILENKER MD (Credential# 490628) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JOSHUA H BILENKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042935. The credential type is controlled substance registration for practitioner. The effective date is April 27, 2015. The expiration date is February 28, 2017. The business address is 57 Urban Street, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name JOSHUA H BILENKER MD
Credential ID 490628
Credential Number CSP.0042935
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 57 Urban Street
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-12-17
Effective Date 2015-04-27
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
563562 1.045980 Physician/Surgeon 2007-11-02 2014-12-01 - 2015-11-30 INACTIVE

Office Location

Street Address 57 Urban Street
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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