KENNETH A GREENBERG (Credential# 549179) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.
KENNETH A GREENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031437. The credential type is physician/surgeon. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 65 Eleven Levels Rd, Ridgefield, CT 06877-3038. The current status is inactive.
Licensee Name | KENNETH A GREENBERG |
Credential ID | 549179 |
Credential Number | 1.031437 |
Credential Type | Physician/Surgeon |
Business Address |
65 Eleven Levels Rd Ridgefield CT 06877-3038 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1991-03-29 |
Effective Date | 2015-05-01 |
Expiration Date | 2016-04-30 |
Refresh Date | 2016-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
158530 | CSP.0018968 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 65 ELEVEN LEVELS RD |
City | RIDGEFIELD |
State | CT |
Zip Code | 06877-3038 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth D Strong | 65 Eleven Levels Rd, Ridgefield, CT 06877-3038 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Madeline M Holzhauer | 71 Eleven Levels Rd, Ridgefield, CT 06877-3038 | Emergency Medical Technician | ~ |
Barbara E Safran | 65 Eleven Levels Rd Ste 2a, Ridgefield, CT 06877-3038 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
Find all Licenses in zip 06877 |
City | RIDGEFIELD |
Zip Code | 06877 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + RIDGEFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
Kathryn L Greenberg | 33 Railroad Ave Apt 15, Milford, CT 06460-3388 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Alissa K. Greenberg-lee | 29 Valley Rd, Scarsdale, NY 10583-1126 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Sheldon B Greenberg | 761 Main Ave Ste 101, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
Stephen R Greenberg Md | 320 Pomfret Street, Putnam, CT 06260 | Physician/surgeon | 1999-12-15 ~ 2001-02-28 |
Robert D Greenberg | 73 Autumn Dr, South Windsor, CT 06074-2952 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Stephen Harvey Greenberg | 40 Hart St, New Britain, CT 06052-1743 | Physician/surgeon | 1977-01-03 ~ 1992-11-30 |
Irwin M Greenberg | 4 Surrey Lane, Waquoit, MA 02536-3467 | Physician/surgeon | 1997-12-30 ~ 1998-09-30 |
Stephen Robert Greenberg | 100 Motor Parkway, Hauppauge, NY 11788 | Physician/surgeon | ~ |
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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).