BERNARD A BURNHAM
Controlled Substance Registration for Practitioner


Address: 314 Main St, Oakville, CT 06779

BERNARD A BURNHAM (Credential# 151109) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 8, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.

Business Overview

BERNARD A BURNHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003369. The credential type is controlled substance registration for practitioner. The effective date is June 8, 1994. The expiration date is July 1, 1996. The business address is 314 Main St, Oakville, CT 06779. The current status is inactive.

Basic Information

Licensee Name BERNARD A BURNHAM
Credential ID 151109
Credential Number CSP.0003369
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 314 Main St
Oakville
CT 06779
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-06-08
Expiration Date 1996-07-01
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
538300 1.003288 Physician/Surgeon 1935-09-19 1994-05-04 - 1995-05-31 INACTIVE

Office Location

Street Address 314 MAIN ST
City OAKVILLE
State CT
Zip Code 06779

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Joseph C Czarsty Md 314 Main St, Oakville, CT 06779 Controlled Substance Registration for Practitioner 2002-03-01 ~ 2003-02-28

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Competitor

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City OAKVILLE
Zip Code 06779
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OAKVILLE

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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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