JEFFREY D BERNHARD MD
Controlled Substance Registration for Practitioner


Address: 39 Spring St, Shrewsbury, MA 01545

JEFFREY D BERNHARD MD (Credential# 179064) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

JEFFREY D BERNHARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025509. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 39 Spring St, Shrewsbury, MA 01545. The current status is inactive.

Basic Information

Licensee Name JEFFREY D BERNHARD MD
Credential ID 179064
Credential Number CSP.0025509
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 39 Spring St
Shrewsbury
MA 01545
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
553497 1.035904 Physician/Surgeon 1997-04-04 1997-09-29 - 1998-10-31 INACTIVE

Office Location

Street Address 39 SPRING ST
City SHREWSBURY
State MA
Zip Code 01545

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Competitor

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City SHREWSBURY
Zip Code 01545
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHREWSBURY

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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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