GERARD A BETRO MD
Controlled Substance Registration for Practitioner


Address: 987 Victory Blvd 2nd Flr, Staten Island, NY 10301

GERARD A BETRO MD (Credential# 413797) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

GERARD A BETRO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038039. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 987 Victory Blvd 2nd Flr, Staten Island, NY 10301. The current status is inactive.

Basic Information

Licensee Name GERARD A BETRO MD
Credential ID 413797
Credential Number CSP.0038039
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 987 Victory Blvd 2nd Flr
Staten Island
NY 10301
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-19
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
561359 1.043777 Physician/Surgeon 2005-08-30 2006-10-13 - 2007-10-31 INACTIVE

Office Location

Street Address 987 VICTORY BLVD 2ND FLR
City STATEN ISLAND
State NY
Zip Code 10301

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Competitor

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City STATEN ISLAND
Zip Code 10301
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND

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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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