ABRAHAM MITTELMAN MD
Controlled Substance Registration for Practitioner


Address: 38 Graham Road, Scarsdale, NY 10583

ABRAHAM MITTELMAN MD (Credential# 353112) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ABRAHAM MITTELMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034351. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 38 Graham Road, Scarsdale, NY 10583. The current status is inactive.

Basic Information

Licensee Name ABRAHAM MITTELMAN MD
Credential ID 353112
Credential Number CSP.0034351
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 38 Graham Road
Scarsdale
NY 10583
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-23
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
559948 1.042366 Physician/Surgeon 2004-04-27 2016-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 38 GRAHAM ROAD
City SCARSDALE
State NY
Zip Code 10583

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Competitor

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City SCARSDALE
Zip Code 10583
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SCARSDALE

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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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