GENE D KIRSCHENBAUM (Credential# 544094) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
GENE D KIRSCHENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022343. The credential type is physician/surgeon. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 2 Belhaven, Cromwell, CT 06416-2719. The current status is inactive.
| Licensee Name | GENE D KIRSCHENBAUM |
| Credential ID | 544094 |
| Credential Number | 1.022343 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Belhaven Cromwell CT 06416-2719 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1980-08-08 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 282076 | CSP.0030998 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE | |
| 277694 | CSP.0030979 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 2 BELHAVEN |
| City | Cromwell |
| State | CT |
| Zip Code | 06416-2719 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian P Reilly | 2 Belhaven, Cromwell, CT 06416 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Shelley L Kirschenbaum | 2 Belhaven, Cromwell, CT 06416 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Gene D Kirschenbaum Md | 2 Belhaven, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Korn Dds | 6 Belhaven Ste 324, Cromwell, CT 06416-2719 | Dentist | 2013-07-01 ~ 2014-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | Cromwell |
| Zip Code | 06416 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Cromwell |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gene D Kirschenbaum Md | 2 Belhaven, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lawrence P Kirschenbaum Md | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gene S Lui Do | Brooklyn, NY 11215 | Physician/surgeon | 2006-02-23 ~ 2007-02-28 |
| Gene Lee | 701 5th Ave Ste 2300, Seattle, WA 98104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gene G Tronco | 247-70a, Bellerose, NY 11426 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Gene A Whitman | 300 Summer St #56, Boston, MA 02210-1122 | Physician/surgeon | 2002-10-30 ~ 2003-12-31 |
| Gene Balboa Md | 34 Maple St, Norwalk, CT 06850-3815 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gene R Adams | 291 Lower Blvd, New London, CT 06320 | Physician/surgeon | 2008-10-27 ~ 2009-12-31 |
| Gene V Pacelli | 32 Andrea Dr, North Caldwell, NJ 07006-4727 | Physician/surgeon | 2019-12-20 ~ 2020-12-31 |
| Gene Freylikhman Md | 3 Anthony Ridge Rd, Newtown, CT 06470 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).