HARVEY EISENBERG (Credential# 543924) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 28, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.
HARVEY EISENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021991. The credential type is physician/surgeon. The effective date is May 28, 2002. The expiration date is May 31, 2003. The business address is 12 Dawn Drive, Westport, CT 06880. The current status is inactive.
| Licensee Name | HARVEY EISENBERG |
| Credential ID | 543924 |
| Credential Number | 1.021991 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Dawn Drive Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-06-17 |
| Effective Date | 2002-05-28 |
| Expiration Date | 2003-05-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163765 | CSP.0021236 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-08-02 - 1995-08-01 | INACTIVE |
| Street Address | 12 DAWN DRIVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryellen Eisenberg | 12 Dawn Drive, Westport, CT 06880 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Amy B Eisenberg | 600 Mamaroneck Ave, Harrison, NY 10528-1635 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
| Joel H Eisenberg | Paulden, AZ 86634 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Nina Eisenberg Md | 3450 Wayne Ave, Bronx, NY 10467 | Physician/surgeon | 2002-07-08 ~ 2003-06-30 |
| Sidney E Eisenberg | Orchard Cove, Canton, MA 02021 | Physician/surgeon | 1998-12-17 ~ 2000-01-31 |
| Thalia Acosta Eisenberg | 37 Garfield Rd, West Hartford, CT 06107-1713 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Edward R Harvey Jr | Po Box 243, Seymour, CT 06483 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Harvey A Zar Md | 376 W Woods Rd, Hamden, CT 06518-1917 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Harvey A Kahaner | 239 Ludlow Rd, Manchester, CT 06040-4546 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
Please comment or provide details below to improve the information on HARVEY EISENBERG.
| 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).