JORDAN A GREENBERG (Credential# 1067980) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
JORDAN A GREENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.008459. The credential type is dental anesthesia/conscious sedation permit. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 500 E Main St Ste 216, Branford, CT 06405-2937. The current status is active.
| Licensee Name | JORDAN A GREENBERG |
| Credential ID | 1067980 |
| Credential Number | 22.008459 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
500 E Main St Ste 216 Branford CT 06405-2937 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-08-28 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1053705 | 2.010722 | Dentist | 2012-03-29 | 2020-08-01 - 2021-07-31 | ACTIVE |
| 1073124 | CSP.0052463 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-05-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1622597 | CSP.0070032 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-27 | 2018-12-27 - 2021-02-28 | ACTIVE |
| Street Address | 500 E MAIN ST STE 216 |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-2937 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Ira N Slow Dmd | 1825 Barnum Ave, Stratford, CT 06614-5333 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Scott T Claiborne | 140 Huyshope Ave Apt 623, Hartford, CT 06106-2870 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Steven W. Carney | 583 Saybrook Rd, Middletown, CT 06457-4718 | Dental Anesthesia/conscious Sedation Permit | 2020-07-01 ~ 2021-06-30 |
| Robert M Yudell Md | 90 Morgan St Ste 207, Stamford, CT 06905-5436 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| Stuart E Lieblich | 34 Dale Rd, Avon, CT 06001 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Anthony Camillo | 107 Newtown Rd Ste 1a, Danbury, CT 06810-4151 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Donald J Case Dmd | 27 Bridge St, Stamford, CT 06905 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| David A Galbraith | 507 Hopmeadow St, Simsbury, CT 06070 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Andrew F Keene | 30 Currier Way, Cheshire, CT 06410-1468 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
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| 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).