MYLES D GREENBERG MD (Credential# 381849) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MYLES D GREENBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036361. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1925 E Herbert Ave, Salt Lake City, UT 84108-1833. The current status is active.
| Licensee Name | MYLES D GREENBERG MD |
| Credential ID | 381849 |
| Credential Number | CSP.0036361 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1925 E Herbert Ave Salt Lake City UT 84108-1833 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-09-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560310 | 1.042728 | Physician/Surgeon | 2004-08-10 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 1925 E HERBERT AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1833 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn M Greenberg | 1925 E Herbert Ave, Salt Lake City, UT 84108-1833 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Actavis Laboratories Ut Inc | 575-577-579 Chipeta Way, Salt Lake City, UT 84108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Theresa M Shuck | 320 Wakara Way, Salt Lake City, UT 84108 | Genetic Counselor | 2020-08-01 ~ 2021-07-31 |
| Mili Shum | 2655 E Comanche Drive, Salt Lake City, UT 84108 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Lipocine, Inc. | 675 Arapeen Drive, Suite 202, Salt Lake City, UT 84108 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-03-22 ~ |
| Shawn T Liechty | 851 S 1900 E, Salt Lake City, UT 84108 | Resident Physician | 2017-06-22 ~ 2023-06-30 |
| Jan W Leonard | 2215 E Logan Ave, Salt Lake Cty, UT 84108 | Professional Engineer | 1989-02-01 ~ 1991-01-31 |
| Joyce S Cohen | 1803 Yale Ave, Salt Lake City, UT 84108 | Registered Nurse | 1994-09-13 ~ 1995-11-30 |
| Maer B Ozonoff | 2830 Comanche Drive, Salt Lake City, UT 84108 | Physician/surgeon | 1998-04-13 ~ 1999-02-28 |
| Nichole Gail Behrens | 320 Wakara Way, Salt Lake City, UT 84108 | Genetic Counselor | 2020-07-01 ~ 2021-06-30 |
| Megan Shearouse | 320 Wakara Way, Salt Lake City, UT 84108 | Genetic Counselor | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 84108 | |||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SALT LAKE CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Myles L Schultz | 501 Campus St, Kissimmee, FL 34747-4613 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Myles J Seideman Dds | 7 Whitney St Ext, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Steven C Greenberg Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian L Greenberg Md | 161 Turtle Bay Dr, Branford, CT 06405-4905 | Controlled Substance Registration for Practitioner | 2011-03-07 ~ 2013-02-28 |
| Jason H Greenberg | 15 Fraser Drive, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard A Greenberg | 5 Moray Lane, Ipswich, MA 01938 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mitchell H Greenberg | 9 Spur Road, Redding, CT 06896-3018 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mandy S Greenberg | 148 East Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy J Greenberg | 150 South Turnpike Rd, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shari Greenberg | 238 Munn Road, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MYLES D GREENBERG 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).