JAIME BERG HYMAN
Controlled Substance Registration for Practitioner


Address: 400 E 90th St Apt 22b, New York, NY 10128-4249

JAIME BERG HYMAN (Credential# 2058726) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2020. The license expiration date date is February 28, 2021. The license status is APPROVED.

Business Overview

JAIME BERG HYMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074648. The credential type is controlled substance registration for practitioner. The effective date is June 24, 2020. The expiration date is February 28, 2021. The business address is 400 E 90th St Apt 22b, New York, NY 10128-4249. The current status is approved.

Basic Information

Licensee Name JAIME BERG HYMAN
Credential ID 2058726
Credential Number CSP.0074648
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 400 E 90th St Apt 22b
New York
NY 10128-4249
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2020-06-24
Effective Date 2020-06-24
Expiration Date 2021-02-28
Refresh Date 2020-06-24

Other licenses

ID Credential Code Credential Type Issue Term Status
2044924 1.066275 Physician/Surgeon 2020-06-23 2020-06-23 - 2021-02-28 ACTIVE

Office Location

Street Address 400 E 90TH ST APT 22B
City NEW YORK
State NY
Zip Code 10128-4249

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Competitor

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City NEW YORK
Zip Code 10128
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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