JOHN S BOMANN D O
Controlled Substance Registration for Practitioner


Address: 229 East 81st Street, New York, NY 10028

JOHN S BOMANN D O (Credential# 1222113) 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

JOHN S BOMANN D O is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057164. 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 229 East 81st Street, New York, NY 10028. The current status is active.

Basic Information

Licensee Name JOHN S BOMANN D O
Credential ID 1222113
Credential Number CSP.0057164
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 229 East 81st Street
New York
NY 10028
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-05-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
558462 1.040879-DO Physician/Surgeon 2002-10-03 2019-11-01 - 2020-10-31 ACTIVE
322155 CSP.0032861 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 229 EAST 81ST STREET
City New York
State NY
Zip Code 10028

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Competitor

Search similar business entities

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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