GARY M BLOOMGARDEN MD
Controlled Substance Registration for Practitioner


Address: 230 George St Ste 5, New Haven, CT 06510-3224

GARY M BLOOMGARDEN MD (Credential# 150161) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

GARY M BLOOMGARDEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011775. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 230 George St Ste 5, New Haven, CT 06510-3224. The current status is inactive.

Basic Information

Licensee Name GARY M BLOOMGARDEN MD
Credential ID 150161
Credential Number CSP.0011775
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 230 George St Ste 5
New Haven
CT 06510-3224
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address 230 GEORGE ST STE 5
City NEW HAVEN
State CT
Zip Code 06510-3224

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Competitor

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City NEW HAVEN
Zip Code 06510
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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