EITAN SOBEL MD
Controlled Substance Registration for Practitioner


Address: 125 Northfield Rd, Longmeadow, MA 01106

EITAN SOBEL MD (Credential# 285852) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

EITAN SOBEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031360. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 125 Northfield Rd, Longmeadow, MA 01106. The current status is inactive.

Basic Information

Licensee Name EITAN SOBEL MD
Credential ID 285852
Credential Number CSP.0031360
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 125 Northfield Rd
Longmeadow
MA 01106
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-01
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557352 1.039768 Physician/Surgeon 2001-08-01 2001-08-01 - 2002-08-31 INACTIVE

Office Location

Street Address 125 NORTHFIELD RD
City LONGMEADOW
State MA
Zip Code 01106

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Michael S Caronna 24 Chandler Ave, Longmeadow, MA 01106 Registered Sanitarian 2020-09-01 ~ 2021-08-31
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Krystyna Olczuk 158 Tanglewood Dr, Longmeadow, MA 01106 Registered Nurse 2020-08-01 ~ 2021-07-31
Susan M Neville 43 Lincoln Road, Longmeadow, MA 01106 Registered Nurse 2020-07-01 ~ 2021-06-30
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Kimberly Marie Maynard 175 Franklin Road, Longmeadow, MA 01106 Psychologist 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City LONGMEADOW
Zip Code 01106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW

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Dataset Information

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).

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