CAROLINE P HALVERSTAM MD
Controlled Substance Registration for Practitioner


Address: 354 E 91st St Apt 608, New York, NY 10128-0087

CAROLINE P HALVERSTAM MD (Credential# 1031207) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 2, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

CAROLINE P HALVERSTAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051326. The credential type is controlled substance registration for practitioner. The effective date is September 2, 2011. The expiration date is February 28, 2013. The business address is 354 E 91st St Apt 608, New York, NY 10128-0087. The current status is inactive.

Basic Information

Licensee Name CAROLINE P HALVERSTAM MD
Credential ID 1031207
Credential Number CSP.0051326
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 354 E 91st St Apt 608
New York
NY 10128-0087
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-09-02
Effective Date 2011-09-02
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1002077 1.050138 Physician/Surgeon 2011-07-18 2012-01-01 - 2012-12-31 INACTIVE

Office Location

Street Address 354 E 91ST ST APT 608
City NEW YORK
State NY
Zip Code 10128-0087

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Competitor

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City NEW YORK
Zip Code 10128
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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