MITCHELL EVAN AUERBACH (Credential# 1530377) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MITCHELL EVAN AUERBACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069045. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1 Apple Hill Ln, Chappaqua, NY 10514-3708. The current status is active.
| Licensee Name | MITCHELL EVAN AUERBACH |
| Credential ID | 1530377 |
| Credential Number | CSP.0069045 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Apple Hill Ln Chappaqua NY 10514-3708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1520314 | 1.061955 | Physician/Surgeon | 2018-09-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 1 APPLE HILL LN |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514-3708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert D Auerbach Md | 29 Kimberly Lane, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew Auerbach Md | 22 School Street, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Robert Auerbach | 4 Dearfield Drive, Suite G1, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard J Auerbach Md | 19 Canterbury Lane, Sandy Hook, CT 06482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evan Fox | 300 Hebron Ave Ste 107, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evan P Provisor | Fiskdale, MA 01518-1043 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| George Seddon Dds | 108 Evan Rd, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Evan J Burke | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Evan H Lee | 4209 163rd St Fl 2, Flushing, NY 11358-2617 | Controlled Substance Registration for Practitioner | 2017-08-03 ~ 2019-02-28 |
| Evan Woodford | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-05-09 ~ 2021-02-28 |
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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).