STEVEN L EISEN MD (Credential# 149053) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
STEVEN L EISEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004219. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 1211 West Main St, Waterbury, CT 06708. The current status is inactive.
| Licensee Name | STEVEN L EISEN MD |
| Credential ID | 149053 |
| Credential Number | CSP.0004219 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1211 West Main St Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541058 | 1.014333 | Physician/Surgeon | 1970-03-05 | 2011-08-01 - 2012-07-31 | INACTIVE |
| Street Address | 1211 WEST MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily B Littman | 1211 West Main St, Waterbury, CT 06708 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| David J Pizzuto Md | 1211 West Main St, Waterbury, CT 06708 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Katherine Daly Pa | 1211 West Main St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| William H Fisher Jr | 1211 West Main St, Waterbury, CT 06708 | Physician/surgeon | 2002-11-25 ~ 2003-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas D Eisen | 136 Sherman Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marc D Eisen Md | 40 Stanford Drive, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sharon J Eisen | 14 Merwin Brook Rd, Brookfield, CT 06804-3016 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Steven C Kim | 217 Davey St Apt D, Bloomfield, NJ 07003-6148 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven C Greenberg Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Steven D Cherry Do | Po Box 73, Arlington, VT 05250-0073 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Steven C Oh | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-06-23 ~ 2013-02-28 |
| Steven Saunders | Orthoconnecticut, PC, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven S Yau Pa | 217-17 43rd Avenue, Bayside, NY 11361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEVEN L EISEN MD.
| 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).