GERALD J OBRIEN
Controlled Substance Registration for Practitioner


Address: 119 Millcreek Rd Apt B2n, Ardmore, PA 19003-1542

GERALD J OBRIEN (Credential# 144225) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

GERALD J OBRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007720. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 119 Millcreek Rd Apt B2n, Ardmore, PA 19003-1542. The current status is inactive.

Basic Information

Licensee Name GERALD J OBRIEN
Credential ID 144225
Credential Number CSP.0007720
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 119 Millcreek Rd Apt B2n
Ardmore
PA 19003-1542
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
541324 1.015017 Physician/Surgeon 1971-06-15 2012-02-01 - 2013-01-31 INACTIVE

Office Location

Street Address 119 MILLCREEK RD APT B2N
City ARDMORE
State PA
Zip Code 19003-1542

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Eric F Bernstein 32 Parking Plaza, Ardmore, PA 19003 Physician/surgeon 2018-07-01 ~ 2019-06-30
Jessica A Vitali 2435 Bryn Mawr Avenue, Ardmore, PA 19003 Architect 2019-08-01 ~ 2020-07-31
Robert F Serpente 310 Ardmore Ave, Ardmore, PA 19003 Professional Engineer 1990-12-20 ~ 1992-01-31
Daniel H Socket 2735 Haverford Road, Arvmore, PA 19003 Professional Engineer 1997-02-01 ~ 1998-01-31
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Competitor

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City ARDMORE
Zip Code 19003
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ARDMORE

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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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