BETHANIE SHANA BERSON (Credential# 1522989) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2018. The license expiration date date is February 28, 2019. The license status is LAPSED.
BETHANIE SHANA BERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068643. The credential type is controlled substance registration for practitioner. The effective date is June 11, 2018. The expiration date is February 28, 2019. The business address is 2601 Ocean Pkwy, Brooklyn, NY 11235-7745. The current status is lapsed.
| Licensee Name | BETHANIE SHANA BERSON |
| Credential ID | 1522989 |
| Credential Number | CSP.0068643 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2601 Ocean Pkwy Brooklyn NY 11235-7745 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2018-06-11 |
| Effective Date | 2018-06-11 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1514771 | 12.007599 | Advanced Practice Registered Nurse | 2018-06-04 | 2018-06-04 - 2018-09-30 | INACTIVE |
| 1503939 | 10.150550 | Registered Nurse | 2018-05-23 | 2018-05-23 - 2018-09-30 | INACTIVE |
| 1504015 | 10.149665-TEMP | Registered Nurse - Temporary | 2018-04-11 | 2018-04-11 - 2018-05-23 | INACTIVE |
| Street Address | 2601 OCEAN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-7745 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Mikhailov | 3111 Ocean Parkway, Brooklyn, NY 11235 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Liubomyr Kashuba | 2717 E 28 St Apt 1g, Brooklyn, NY 11235 | Asbestos Abatement Worker | 2020-04-01 ~ 2021-03-31 |
| Ying Cheng | 2527 E. 18th Street, Brooklyn, NY 11235 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Edward A Kulich | 1601 Voorhies Ave 2nd Fl, Brooklyn, NY 11235 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Igor Gendler | 415 Brighton Beach Ave, Brooklyn, NY 11235 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Danielle Erika Smilowitz | 2524 East 26th Street, Brooklyn, NY 11235 | Radiographer | ~ |
| Leonid Krupnik | 2461 East 29th Street, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Yevgeniy Goldengur | 721 Desmond Court, Brooklyn, NY 11235 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| David Merabyan | 2536 E 11th Street, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Erdem Dogan | 65 Oriental Blvd Apt #8-g, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11235 | |||
| City | BROOKLYN |
| Zip Code | 11235 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bethanie L Markowski | 37 Webber Rd, Tolland, CT 06084-2013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence Berson Md | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin Shana Valenti | 104 Nobscot Dr, Framingham, MA 01701-4082 | Controlled Substance Registration for Practitioner | 2020-04-06 ~ 2021-02-28 |
| Shana A Berger | Whiting Forensic Hospital, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on BETHANIE SHANA BERSON.
| 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).