DAVID L KREITZMAN MD (Credential# 320665) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.
DAVID L KREITZMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032651. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 108 Lake Ave 2nd Fl, Worcester, MA 01604. The current status is inactive.
| Licensee Name | DAVID L KREITZMAN MD |
| Credential ID | 320665 |
| Credential Number | CSP.0032651 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
108 Lake Ave 2nd Fl Worcester MA 01604 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2003-03-01 |
| Expiration Date | 2004-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558285 | 1.040702 | Physician/Surgeon | 2002-07-29 | 2002-12-09 - 2003-12-31 | INACTIVE |
| Street Address | 108 LAKE AVE 2ND FL |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Marie Baroni | 69 Dustin Street, Worcester, MA 01604 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Karen Fontanares Mancera | 282 Hamilton Street, Worcester, MA 01604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Justin T Jarboe | 8 Seward St, Worcester, MA 01604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Liza Detenber | 7 E. Lake St., Worcester, MA 01604 | Licensed Clinical Social Worker | ~ |
| James Franklin Scola | 433 Sunderland Road, Ap. K, Worcester, MA 01604 | Notary Public Appointment | 2020-03-13 ~ 2025-03-31 |
| Dennis J Mercure | 44 Ernest Ave, Worcester, MA 01604 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Johnathan A Simpson | 113 Warner Ave, Worcester, MA 01604 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Allan Kasozi Musoke | 59 Heywood St, Worcester, MA 01604 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
| Worcester Pharmacy LLC · Boulevard Pharmeceutical Compounding | 149 Shrewsbury St, Worcester, MA 01604 | Nonresident Pharmacy | 2020-01-21 ~ 2020-08-31 |
| Rachel E Swedo | 62 Alvarado Ave, Worcester, MA 01604 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 01604 | |||
| City | WORCESTER |
| Zip Code | 01604 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David J Belman Md Cm | Po Box 547, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| David L Wasley | 7 Elm St, Terryville, CT 06786 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| David Burchenal | 213 Elm St, Stonington, CT 06378-1165 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Ryu | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-04-22 ~ 2013-02-28 |
| David L Coven Md | 79 Second St, Fairfield, CT 06432 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| David Poppel Md | 113 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on DAVID L KREITZMAN 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).