JAN E BERNIE MD
Controlled Substance Registration for Practitioner


Address: 60 E End Ave Apt 25b, New York, NY 10028-8055

JAN E BERNIE MD (Credential# 519549) 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

JAN E BERNIE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044855. 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 60 E End Ave Apt 25b, New York, NY 10028-8055. The current status is inactive.

Basic Information

Licensee Name JAN E BERNIE MD
Credential ID 519549
Credential Number CSP.0044855
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 E End Ave Apt 25b
New York
NY 10028-8055
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-11-24
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 60 E END AVE APT 25B
City NEW YORK
State NY
Zip Code 10028-8055

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City NEW YORK
Zip Code 10028
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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