ADELA I BERKOVITZ MD
Physician/surgeon


Address: P O Box 1453, Stamford, CT 06904

ADELA I BERKOVITZ MD (Credential# 554962) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 25, 2000. The license expiration date date is October 31, 2001. The license status is INACTIVE.

Business Overview

ADELA I BERKOVITZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037372. The credential type is physician/surgeon. The effective date is October 25, 2000. The expiration date is October 31, 2001. The business address is P O Box 1453, Stamford, CT 06904. The current status is inactive.

Basic Information

Licensee Name ADELA I BERKOVITZ MD
Credential ID 554962
Credential Number 1.037372
Credential Type Physician/Surgeon
Business Address P O Box 1453
Stamford
CT 06904
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-11-06
Effective Date 2000-10-25
Expiration Date 2001-10-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
204364 CSP.0027690 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address P O BOX 1453
City STAMFORD
State CT
Zip Code 06904

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Competitor

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City STAMFORD
Zip Code 06904
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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