ANNA GOMBERG MD (Credential# 207246) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 19, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
ANNA GOMBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027795. The credential type is controlled substance registration for practitioner. The effective date is April 19, 2004. The expiration date is February 28, 2005. The business address is 503 Pleasantville Rd, Briarcliff, NY 10510. The current status is inactive.
| Licensee Name | ANNA GOMBERG MD |
| Credential ID | 207246 |
| Credential Number | CSP.0027795 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
503 Pleasantville Rd Briarcliff NY 10510 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-04-19 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554868 | 1.037278 | Physician/Surgeon | 1998-10-02 | 2004-04-19 - 2005-01-31 | INACTIVE |
| Street Address | 503 PLEASANTVILLE RD |
| City | BRIARCLIFF |
| State | NY |
| Zip Code | 10510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Soffer | 178 Larch Rd, Briarcliff Manor, NY 10510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Andrew V Tung | 588 Scarborough Rd, Briarcliff Mnr, NY 10510 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Barbara Karlen Blitstein | Berkshire Hathaway Homeservices, Rye, NY 10510 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| J Philip Real Estate LLC | 94 Meadow Road, Briarcliff Manor, NY 10510 | Real Estate Broker | 2020-04-09 ~ 2021-03-31 |
| Steven J Siegel | 20 Purdy Court, Briarcliff Manor, NY 10510 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Bret Crossland | 71 Alder Drive, Briarcliff Manor, NY 10510 | Professional Engineer | 2020-03-05 ~ 2021-01-31 |
| Harvey M Berman | 5 Briars Corners, Briarcliff Manor, NY 10510 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael J Rotindo | 522 N State Rd, Briarcliff Manor, NY 10510 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| Brian Christopher Crowley | 65 Birch Road, Briarcliff Manor, NY 10510 | Architect | 2020-02-06 ~ 2020-07-31 |
| Gary Ramuno | 1249 Pleasantville Road, Briarcliff Manor, NY 10510 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Find all Licenses in zip 10510 | |||
| City | BRIARCLIFF |
| Zip Code | 10510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIARCLIFF |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna D Burke Md | 65 Canal St Apt.216, Millbury, MA 01527 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Anna E Von Reinhart | 310 Front St, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Anna S Mah Md | 4 Sugar Hollow Ct, Katonah, NY 10536 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna C Mai Od | 50 Holy Family Rd Apt 317, Holyoke, MA 01040-2782 | Controlled Substance Registration for Practitioner | 2011-05-04 ~ 2013-02-28 |
| Anna Pancheshnikov | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna P Ziganshina | 111 Park St Apt 17b, New Haven, CT 06511-5470 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna Manzotti | 263 Farmington Ave, Hartford, CT 06105-3440 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anna Fiskin | 111 Park St Apt 9t, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Anna L Stevens | 177 Seneca Dr, Groton, CT 06340-5644 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANNA GOMBERG 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).