ROBERT D BLACK MD (Credential# 545462) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ROBERT D BLACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025450. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 330 Blake Cir, Hamden, CT 06517. The current status is active.
| Licensee Name | ROBERT D BLACK MD |
| Credential ID | 545462 |
| Credential Number | 1.025450 |
| Credential Type | Physician/Surgeon |
| Business Address |
330 Blake Cir Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-08-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147021 | CSP.0013290 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-09-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 330 BLAKE CIR |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen A Landau | 330 Blake Cir, Hamden, CT 06517-3300 | Respiratory Care Practitioner | 2017-07-01 ~ 2018-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L Plansky | 39 Black Twig Pl, Stamford, CT 06903-1835 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert G Douglas | 265 Old Black Point Road, Niantic, CT 06357 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert A Stanton | 305 Black Rock Turnpike, Fairfield, CT 06825 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jed E Black | 200 Evergreen Ave, Hamden, CT 06518 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| Dalliah M Black Md | Department of Surgery, New Haven, CT 06520 | Physician/surgeon | 2007-08-21 ~ 2008-09-30 |
| Elyse R. Erlich | 18 Black Birch Ln, Scarsdale, NY 10583-7455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jerilyn S Allen Md | 220 Old Black Point Rd, Niantic, CT 06357 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Laura Black | 26 Burlington Road, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard H Dyer Jr | 306 Black Rock Rd, Watertown, CT 06795-1417 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Debra L Gerson | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ROBERT D BLACK MD.
| 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).