VICKI SARA BLUMBERG MD (Credential# 156356) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 2, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
VICKI SARA BLUMBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015522. The credential type is controlled substance registration for practitioner. The effective date is April 2, 2019. The expiration date is February 28, 2021. The business address is 203 Oscaleta Rd, Ridgefield, CT 06877-3612. The current status is active.
| Licensee Name | VICKI SARA BLUMBERG MD |
| Credential ID | 156356 |
| Credential Number | CSP.0015522 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
203 Oscaleta Rd Ridgefield CT 06877-3612 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-04-02 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547128 | 1.028371 | Physician/Surgeon | 1987-08-05 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 203 OSCALETA RD |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-3612 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ramon N Kranwinkel | 297 Oscaleta Rd, Ridgefield, CT 06877-3612 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey M Blumberg | 2 Maplewood Rd, New Haven, CT 06515-1815 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Vicki Ehrlich | 300 Redstone Dr, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicki L Chenarides Od | Po Box 209, Hopewell Junction, NY 12533-0209 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Vicki Gatling Aprn | 128 Mansfield Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2003-03-03 ~ 2004-02-28 |
| Vicki L June Dvm | Schulhof Animal Hospital, Westport, CT 6880 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Sara J Oak | 44 Orange St #604, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-09-29 ~ 2005-02-28 |
| Sara C Paredes | 835 Mix Ave Apt 306, Hamden, CT 06514-2149 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara M Miceli | 355 Oak Dr, Watertown, CT 06795-3141 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara A Migneault | 26 Munnisunk Dr, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara J Ruddy | 78 Maplewood Rd, Southington, CT 06489-2429 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).