FILJAH S BERNARDO
Controlled Substance Registration for Practitioner


Address: 633 Williams Rd, Wallingford, CT 06492-2635

FILJAH S BERNARDO (Credential# 1187397) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

FILJAH S BERNARDO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056219. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 633 Williams Rd, Wallingford, CT 06492-2635. The current status is active.

Basic Information

Licensee Name FILJAH S BERNARDO
Credential ID 1187397
Credential Number CSP.0056219
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 633 Williams Rd
Wallingford
CT 06492-2635
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-10-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1183821 12.005542 Advanced Practice Registered Nurse 2013-09-19 2019-11-01 - 2020-10-31 ACTIVE
574544 10.070537 Registered Nurse 2003-01-15 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 633 WILLIAMS RD
City WALLINGFORD
State CT
Zip Code 06492-2635

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Louis P Brockett 607 Williams Rd, Wallingford, CT 06492-2635 Emergency Medical Service Instructor 2019-12-30 ~ 2023-09-30

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Dianna K Ball 104 Simpson Ave, Wallingford, CT 06492 Speech and Language Pathologist 2020-08-01 ~ 2021-07-31
Ann Marie Richardson 20 Mohawk Drive, Wallingford, CT 06492 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City WALLINGFORD
Zip Code 06492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD

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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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