ROBERT D GREENBERG
Physician/surgeon


Address: 73 Autumn Dr, South Windsor, CT 06074-2952

ROBERT D GREENBERG (Credential# 542193) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.

Business Overview

ROBERT D GREENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017063. The credential type is physician/surgeon. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 73 Autumn Dr, South Windsor, CT 06074-2952. The current status is inactive.

Basic Information

Licensee Name ROBERT D GREENBERG
Credential ID 542193
Credential Number 1.017063
Credential Type Physician/Surgeon
Business Address 73 Autumn Dr
South Windsor
CT 06074-2952
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1975-01-17
Effective Date 2016-09-01
Expiration Date 2017-08-31
Refresh Date 2018-11-07

Other licenses

ID Credential Code Credential Type Issue Term Status
153669 CSP.0005735 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 73 AUTUMN DR
City SOUTH WINDSOR
State CT
Zip Code 06074-2952

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Barbara Brant Feehan 139 Rockledge Drive, South Windsor, CT 06074 Audiologist 2020-09-01 ~ 2021-08-31
Jillmarie S Macaluso 230 Orchard Hill Dr, S Windsor, CT 06074 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Jason K Smith 854 Foster Street Ext, South Windsor, CT 06074 Professional Engineer 2020-06-26 ~ 2021-01-31
Abc Property Care LLC 376 Pleasant Valley Road, South Windsor, CT 06074 Home Improvement Contractor 2020-06-26 ~ 2020-11-30
Ashley Ann Corridori 21 Abar Lane, South Windsor, CT 06074 Physician Assistant 2020-07-01 ~ 2021-06-30
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Competitor

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City SOUTH WINDSOR
Zip Code 06074
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SOUTH WINDSOR

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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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