BRIDGET I EARLE MD
Controlled Substance Registration for Practitioner


Address: 16-66 Bell Blvd Apt 741, Bayside, NY 10036

BRIDGET I EARLE MD (Credential# 442138) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

BRIDGET I EARLE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039395. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 16-66 Bell Blvd Apt 741, Bayside, NY 10036. The current status is lapsed.

Basic Information

Licensee Name BRIDGET I EARLE MD
Credential ID 442138
Credential Number CSP.0039395
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16-66 Bell Blvd Apt 741
Bayside
NY 10036
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2006-06-28
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
561849 1.044267 Physician/Surgeon 2006-04-19 2017-03-01 - 2018-02-28 INACTIVE

Office Location

Street Address 16-66 Bell Blvd Apt 741
City bayside
State NY
Zip Code 10036

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Competitor

Search similar business entities

City bayside
Zip Code 10036
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + bayside

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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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