MARK GEOFFREY GREENBAUM (Credential# 548248) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 12, 2001. The license expiration date date is March 31, 2002. The license status is INACTIVE.
MARK GEOFFREY GREENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030126. The credential type is physician/surgeon. The effective date is February 12, 2001. The expiration date is March 31, 2002. The business address is 25 Rose Hill Avenue, New Rochelle, NY 10804. The current status is inactive.
| Licensee Name | MARK GEOFFREY GREENBAUM |
| Credential ID | 548248 |
| Credential Number | 1.030126 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Rose Hill Avenue New Rochelle NY 10804 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-07-14 |
| Effective Date | 2001-02-12 |
| Expiration Date | 2002-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 25 ROSE HILL AVENUE |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10804 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn E Manfredo | 137 Norman Road, New Rochelle, NY 10804 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Victor M Castillo | 15 Gaby Lane, New Rochelle, NY 10804 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amanda C D'onofrio | 11 Gladstone Rd, New Rochelle, NY 10804 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| William F Lore | 412 Stratton Rd, New Rochelle, NY 10804 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melvin M Beacher | 1273 North Ave, New Rochelle, NY 10804 | Architect | 2018-08-01 ~ 2019-07-31 |
| Paul M Mccann | 190 Broadview Ave (mci), New Rochelle, NY 10804 | Architect | 2018-08-01 ~ 2019-07-31 |
| Eileen N Kelly | 96 Pryer Terr, New Rochelle, NY 10804 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Naava Ronit Abelow | 251 Rose Hill Ave, New Rochelle, NY 10804 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charles B Walsh | 39 Brookridge Rd., New Rochelle, NY 10804 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lori H Costa | 6 James Drive, New Rochelle, NY 10804 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10804 | |||
| City | NEW ROCHELLE |
| Zip Code | 10804 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW ROCHELLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason L Greenbaum | 27 Sussex Pl, Stamford, CT 06905 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Howard Greenbaum | 16921 Bedford Lane, Huntington Bch, CA 92649 | Physician/surgeon | 2009-05-01 ~ 2010-04-30 |
| Geoffrey A Agrons | 23 Norwood Ave, Kensington, CA 94707 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Ian Geoffrey Wittman | 301 E 17th St, New York, NY 10003 | Physician/surgeon | 2018-02-16 ~ 2019-02-28 |
| Geoffrey M Murrish | P.o Box #320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Geoffrey Etherington II | 302 Route 81, Killingworth, CT 06419 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Geoffrey A Allen | 145 Cottage St B-1, New Haven, CT 06511 | Physician/surgeon | 1996-08-23 ~ 1997-08-31 |
| Geoffrey H Hammond | Post Office Box 695, Danville, CA 94526 | Physician/surgeon | 1997-06-06 ~ 1998-05-31 |
| Geoffrey C Achonu | 30 Davenport Avenue, New Rochelle, NY 10805 | Physician/surgeon | 2004-02-02 ~ 2005-01-31 |
| Geoffrey W Ndeto | 36 Franklin Avenue, Rosemont, PA 19010 | Physician/surgeon | ~ 1995-09-30 |
Please comment or provide details below to improve the information on MARK GEOFFREY GREENBAUM.
| 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).