ETHAN LEVITAN BERNSTEIN (Credential# 1357333) 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.
ETHAN LEVITAN BERNSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062901. 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 207 George Street, Middletown, CT 06457. The current status is active.
| Licensee Name | ETHAN LEVITAN BERNSTEIN |
| Credential ID | 1357333 |
| Credential Number | CSP.0062901 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
207 George Street Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1630165 | 1.063499 | Physician/Surgeon | 2019-05-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1491517 | 1.059252-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 207 George Street |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sylvia M Cavero | 207 George Street, Middletown, CT 06457 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nicholas A Boemio | 207 George Street, Middletown, CT 06457 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sharon L Lescadre | 207 George Street, Middletown, CT 06457 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ellen E Paklos | 207 George Street, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Daniella E Gould | 207 George Street, Middletown, CT 06457 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Shea Katherine Berry | 207 George Street, Middletown, CT 06457 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Yuko Yamabe | 207 George Street, Middletown, CT 06457 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Samantha Jane Anthony | 207 George Street, Middletown, CT 06457 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Laura J Crandall | 207 George Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lidia Mikolaenko | 207 George Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Batya Levitan | 17b Merwin Ave, Milford, CT 06460-7902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eve Bernstein | 230 Hepburn Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Roman Bernstein | 139 99th St, Brooklyn, NY 11209-7901 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Douglas M Bernstein | 39 Alston Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven L Bernstein Md | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey Bernstein Md | 155 Fishing Brook Rd, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lana Bernstein Md | 15 Gifford Lake Dr, Armonk, NY 10504 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane I Bernstein | 180 Glen Parkway, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Michael P Bernstein Md | 146 Hazard Aven, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenna Alysse Bernstein | 295 Park Ave S Apt 3m, New York, NY 10010-4520 | Controlled Substance Registration for Practitioner | 2020-03-11 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ETHAN LEVITAN BERNSTEIN.
| 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).