PAUL BERES MD
Controlled Substance Registration for Practitioner


Address: 5 Sprucewood Lane, Westport, CT 06880-4022

PAUL BERES MD (Credential# 151014) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

PAUL BERES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003530. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 5 Sprucewood Lane, Westport, CT 06880-4022. The current status is inactive.

Basic Information

Licensee Name PAUL BERES MD
Credential ID 151014
Credential Number CSP.0003530
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Sprucewood Lane
Westport
CT 06880-4022
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
539206 1.008562 Physician/Surgeon 1957-08-12 2006-01-24 - 2007-01-31 INACTIVE

Office Location

Street Address 5 SPRUCEWOOD LANE
City WESTPORT
State CT
Zip Code 06880-4022

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Competitor

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City WESTPORT
Zip Code 06880
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT

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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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