ALFRED P BURGER MD
Controlled Substance Registration for Practitioner


Address: 901 Lexington Ave, New York, NY 10065

ALFRED P BURGER MD (Credential# 381894) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 12, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

ALFRED P BURGER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036379. The credential type is controlled substance registration for practitioner. The effective date is March 12, 2017. The expiration date is February 28, 2019. The business address is 901 Lexington Ave, New York, NY 10065. The current status is lapsed.

Basic Information

Licensee Name ALFRED P BURGER MD
Credential ID 381894
Credential Number CSP.0036379
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 901 Lexington Ave
New York
NY 10065
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2004-09-08
Effective Date 2017-03-12
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
560302 1.042720 Physician/Surgeon 2004-08-09 2017-05-01 - 2018-04-30 INACTIVE

Office Location

Street Address 901 LEXINGTON AVE
City NEW YORK
State NY
Zip Code 10065

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Competitor

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City NEW YORK
Zip Code 10065
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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