ALVIN D GREENBERG MD (Credential# 540179) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
ALVIN D GREENBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011927. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 1180 Ridge Road, North Haven, CT 06473. The current status is active.
| Licensee Name | ALVIN D GREENBERG MD |
| Credential ID | 540179 |
| Credential Number | 1.011927 |
| Credential Type | Physician/Surgeon |
| Business Address |
1180 Ridge Road North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1964-11-03 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-08-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153659 | CSP.0005514 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 1180 Ridge Road |
| City | North Haven |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn L Greenberg | 33 Railroad Ave Apt 15, Milford, CT 06460-3388 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
| Sheldon B Greenberg | 761 Main Ave Ste 101, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Alissa K. Greenberg-lee | 29 Valley Rd, Scarsdale, NY 10583-1126 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
| Alvin Lichtman | 24 Easton Rd, Westport, CT 06880 | Physician/surgeon | 1993-11-16 ~ 1994-12-31 |
| Jonathan S Greenberg Md | 21 Arundel Ave, West Hartford, CT 06107-1706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephen Harvey Greenberg | 40 Hart St, New Britain, CT 06052-1743 | Physician/surgeon | 1977-01-03 ~ 1992-11-30 |
| Yisachsr J Greenberg Md | 532 Norton Parkway, New Haven, CT 06511 | Physician/surgeon | 1997-02-04 ~ 1998-02-28 |
| Irwin M Greenberg | 4 Surrey Lane, Waquoit, MA 02536-3467 | Physician/surgeon | 1997-12-30 ~ 1998-09-30 |
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| 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).