STEVEN BENGELSDORF MD
Controlled Substance Registration for Practitioner


Address: Box 210172, Nashville, TN 37221-0172

STEVEN BENGELSDORF MD (Credential# 391699) 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

STEVEN BENGELSDORF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036857. 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 Box 210172, Nashville, TN 37221-0172. The current status is inactive.

Basic Information

Licensee Name STEVEN BENGELSDORF MD
Credential ID 391699
Credential Number CSP.0036857
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Box 210172
Nashville
TN 37221-0172
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-12-13
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
558561 1.040978 Physician/Surgeon 2002-11-22 2016-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address Box 210172
City NASHVILLE
State TN
Zip Code 37221-0172

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Evary Carroll 7725 Dan Kestner Drive, Nashville, TN 37221 Registered Nurse 2016-11-01 ~ 2017-11-30
Edward S Lipsey Jr 5141 Pine Hill Rd, Nashville, TN 37221 Professional Engineer 1993-12-28 ~ 1995-01-31
Stephen A Rettig 810 Bellevue Rd Unit#149, Nashville, TN 37221 Professional Engineer 1989-02-03 ~ 1990-01-31
Ross T Malloy 2909 Polo Club Rd, Nashville, TN 37221 Professional Engineer 2009-02-01 ~ 2010-01-31
John S Alsentzer 7056 Northridge Dr, Nashville, TN 37221 Professional Engineer 2005-02-01 ~ 2006-01-31
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Competitor

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City NASHVILLE
Zip Code 37221
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NASHVILLE

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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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