ROBERT A GREEN (Credential# 542511) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ROBERT A GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017732. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 699 Cottage Grove Rd Ste A, Bloomfield, CT 06002-3059. The current status is active.
Licensee Name | ROBERT A GREEN |
Credential ID | 542511 |
Credential Number | 1.017732 |
Credential Type | Physician/Surgeon |
Business Address |
699 Cottage Grove Rd Ste A Bloomfield CT 06002-3059 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1976-04-05 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
153652 | CSP.0005133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert A Green | 104 High St, Baltic, CT 06330-1310 | Barber | ~ |
Robert A Green | 4618 Lawndale Dr Unit C, Greensboro, NC 27455-2036 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Robert A Green | P.o. Box 368, Bay Shore, NY 11706 | Asbestos Abatement Supervisor | 2011-07-01 ~ 2012-06-30 |
Street Address | 699 COTTAGE GROVE RD STE A |
City | BLOOMFIELD |
State | CT |
Zip Code | 06002-3059 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Reliance Bloomfield LLC | 699 Cottage Grove Rd, Bloomfield, CT 06002-3059 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2014-08-21 ~ 2015-06-30 |
Reliance Pharmacy · Reliance Bloomfield LLC | 699 Cottage Grove Rd, Bloomfield, CT 06002-3059 | Pharmacy | 2013-09-01 ~ 2014-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06002 |
City | BLOOMFIELD |
Zip Code | 06002 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BLOOMFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert B Hurowitz | 967 Green Circle, Orange, CT 06477 | Physician/surgeon | 2000-06-05 ~ 2001-08-31 |
Robert W Elwell Jr | 3704 Cotton Green Path Drive, Naples, FL 34114 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Robert A Green, Cpa | 54 Danbury Road #351, Ridgefield, CT 06877 | Certified Public Accountant Firm Permit | 2004-01-01 ~ 2004-12-31 |
Yu-hui Lee | 7-11 Green St Apt 4a, Metuchen, NJ 08840-2411 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kang Lu | 72 Green St, Athol, MA 01331-2603 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Ronald S Green | 142 Deer Run, Burlington, CT 06013-1828 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
David J Green | 60 Bluff Rd, Yarmouth, ME 04096-7300 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
Gary B Green | P O Box 15538, Durham, NC 27704 | Physician/surgeon | 1981-01-01 ~ 1992-12-31 |
Barry J Kuttner Md | 140 Green Rd, Meriden, CT 06450 | Physician/surgeon | 2003-06-18 ~ 2004-08-31 |
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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).