SCOTT ROBERTS (Credential# 2009556) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 11, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SCOTT ROBERTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065022. The credential type is physician/surgeon. The effective date is March 11, 2020. The expiration date is March 31, 2021. The business address is 645 N Michigan Ave Ste 900, Chicago, IL 60611-2823. The current status is active.
Licensee Name | SCOTT ROBERTS |
Credential ID | 2009556 |
Credential Number | 1.065022 |
Credential Type | Physician/Surgeon |
Business Address |
645 N Michigan Ave Ste 900 Chicago IL 60611-2823 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-03-11 |
Effective Date | 2020-03-11 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-04-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2036600 | CSP.0073702 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-20 | 2020-04-20 - 2021-02-28 | ACTIVE |
Street Address | 645 N MICHIGAN AVE STE 900 |
City | CHICAGO |
State | IL |
Zip Code | 60611-2823 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shyamasundar Balasubramanya | 244 E Pearson Street, Chicago, IL 60611 | Resident Physician | 2013-10-01 ~ 2021-06-30 |
Driehaus Mutual Funds | 25 East Erie Street, Chicago, IL 60611 | Investment Company - Open End | 2020-05-05 ~ 2020-12-31 |
Shohreh Shahabi | 950 North Michigan Ave., Chicago, IL 60611 | Controlled Substance Registration for Practitioner | 2019-05-16 ~ 2021-02-28 |
Ceres Sustainable Food & Agriculture Bridge Fund, L.p. | 401 N Michigan Ave, Ste 1200, Chicago, IL 60611 | Securities - Exemptions | 2020-04-01 ~ |
American Medical Association Foundation | 330 North Wabash Avenue, Chicago, IL 60611 | Public Charity | 2020-06-01 ~ 2021-05-31 |
Michael A Wilczynski | 800 N. Michigan Avenue, Chicago, IL 60611 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Matthew H Johnson | 505 N. Lake Shore Drive, Chicago, IL 60611 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Valor Equity Partnes V, Lp | 875 North Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | 2019-12-12 ~ |
Fastmodel Holdings, LLC | 444 Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | ~ |
Grosvenor Registered Multi-strategy Fund (w), LLC | 900 North Michigan Avenue, Chicago, IL 60611 | Investment Company - Other | 2019-08-30 ~ |
Find all Licenses in zip 60611 |
City | CHICAGO |
Zip Code | 60611 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHICAGO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Min Guo | 35 Roberts Rd, New City, NY 10956-4234 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
William L Roberts | 3 Sandway Dr, Brandon, MS 29042 | Physician/surgeon | 1994-07-13 ~ 1995-07-31 |
Michele Roberts | 44 Howard St, Paxton, MA 01612-1569 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Douglas J Roberts Jr | 56 Four Mile Riv Rd, Old Lyme, CT 06371-1542 | Physician/surgeon | 2008-07-14 ~ 2009-07-31 |
Brian Christopher Roberts | 545 1st Ave., New York, NY 10016 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Christie D Roberts | 28 Grand Pl, Newtown, CT 06470-2114 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Roberts M Rees | 557 Weathersfield, Fearrington Village, NC 27312 | Physician/surgeon | 1996-05-17 ~ 1997-03-31 |
Jeffrey H Roberts | 5 Bear Lane, Lattingtown, NY 11560 | Physician/surgeon | 1993-03-24 ~ 1994-02-28 |
Tricia L Kalwar | 34 Roberts Ln, West Hartford, CT 06107-1626 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Ronald Hayden | 60 Roberts Dr Ste 313, North Adams, MA 01247-3254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).