RYAN T SIEBERG
Controlled Substance Registration for Practitioner


Address: 2800 Main St Level 3 Medical Ed, Bridgeport, CT 06606-4201

RYAN T SIEBERG (Credential# 1362762) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

RYAN T SIEBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063285. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 2800 Main St Level 3 Medical Ed, Bridgeport, CT 06606-4201. The current status is lapsed.

Basic Information

Licensee Name RYAN T SIEBERG
Credential ID 1362762
Credential Number CSP.0063285
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2800 Main St Level 3 Medical Ed
Bridgeport
CT 06606-4201
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-06-30
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 2800 MAIN ST LEVEL 3 MEDICAL ED
City BRIDGEPORT
State CT
Zip Code 06606-4201

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Vahab Nemati 2800 Main St, Bridgeport, CT 06606-4201 Resident Physician 2020-07-01 ~ 2024-06-30
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Arnaldo A Rodriguez Rivera 2800 Main St Dept Of, Bridgeport, CT 06606-4201 Resident Physician 2018-07-01 ~ 2021-06-30
Edin Adilovic 2800 Main St Fl 3, Bridgeport, CT 06606-4201 Resident Physician 2018-07-01 ~ 2021-06-30
Michael Chau Viray Md 2800 Main St # 3, Bridgeport, CT 06606-4201 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Armais Akovbyan 2800 Main Street, Bridgeport, CT 06606-4201 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Raluca L Cozmuta 2800 Main St # Level3, Bridgeport, CT 06606-4201 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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Competitor

Search similar business entities

City BRIDGEPORT
Zip Code 06606
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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