BRUCE K BERTRAND MD
Controlled Substance Registration for Practitioner


Address: 134 Forest Hill Drive, Kingston, NY 12401

BRUCE K BERTRAND MD (Credential# 194335) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 14, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

BRUCE K BERTRAND MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026892. The credential type is controlled substance registration for practitioner. The effective date is May 14, 1998. The expiration date is February 28, 1999. The business address is 134 Forest Hill Drive, Kingston, NY 12401. The current status is inactive.

Basic Information

Licensee Name BRUCE K BERTRAND MD
Credential ID 194335
Credential Number CSP.0026892
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 134 Forest Hill Drive
Kingston
NY 12401
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-05-14
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
554228 1.036637 Physician/Surgeon 1998-02-13 - 1998-12-31 INACTIVE

Office Location

Street Address 134 FOREST HILL DRIVE
City KINGSTON
State NY
Zip Code 12401

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Competitor

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City KINGSTON
Zip Code 12401
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KINGSTON

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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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