REGINA C EICHENBERGER PA-C (Credential# 536469) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
REGINA C EICHENBERGER PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045722. The credential type is controlled substance registration for practitioner. The effective date is July 27, 2015. The expiration date is February 28, 2017. The business address is 570 King St, Chappaqua, NY 10514-3537. The current status is inactive.
| Licensee Name | REGINA C EICHENBERGER PA-C |
| Credential ID | 536469 |
| Credential Number | CSP.0045722 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
570 King St Chappaqua NY 10514-3537 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-07-01 |
| Effective Date | 2015-07-27 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 744015 | 23.002266 | Physician Assistant | 2009-06-15 | 2015-08-01 - 2016-07-31 | INACTIVE |
| Street Address | 570 KING ST |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514-3537 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah C Eichenberger Aprn | 839 Farmington Ave Apt C3, West Hartford, CT 06119-1513 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Regina Y Chiu Md | 194 Prospect St Apt #2-i, Waterbury, CT 06710 | Controlled Substance Registration for Practitioner | 2003-03-03 ~ 2004-02-28 |
| Regina Landesberg | 278 Old Farms Rd, Simsbury, CT 06070-1009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Regina E Zimmers Od | 183 Hartford Rd Apt B24, New Britain, CT 06053-1567 | Controlled Substance Registration for Practitioner | 2009-10-19 ~ 2011-02-28 |
| Regina M Daniels | 127 Ardsley Rd, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Regina Ason | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Regina Nagarajan | 300 George Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James Severns Pa | 8 Regina Dr, Windsor Locks, CT 06096 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Regina Martin Youngman | 70 White Oak Shade Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary L Rosenlund Md | Abbey of Regina Laudis Osb, Bethlehem, CT 06751 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on REGINA C EICHENBERGER PA-C.
| 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).