ALBERT B DEISSEROTH (Credential# 552608) 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.
ALBERT B DEISSEROTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035013. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 11609 Deborah Drive, Potomac, MD 20854. The current status is active.
| Licensee Name | ALBERT B DEISSEROTH |
| Credential ID | 552608 |
| Credential Number | 1.035013 |
| Credential Type | Physician/Surgeon |
| Business Address |
11609 Deborah Drive Potomac MD 20854 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-12-22 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 167589 | CSP.0023985 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 11609 Deborah Drive |
| City | Potomac |
| State | MD |
| Zip Code | 20854 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Warren G Feldman | 11303 S Glen Rd, Potomac, MD 20854 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ethan M Stier | 8518 Postoak Road, Potomac, MD 20854 | Pharmacist | 2020-06-02 ~ 2022-01-31 |
| Trung Nhut Nguyen | 10441 Heathside Way, Potomac, MD 20854 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Rebecca H Leonard | 11706 Split Tree C, Potomac, MD 20854 | Physical Therapist | 2018-12-01 ~ 2019-11-30 |
| Current Yield With Participation Fund V, LLC | 9916 Logan Drive, Potomac, MD 20854 | Securities - Exemptions | 2020-02-20 ~ |
| Alex Shokouhi Mohseni | 8904 Maxwell Dr., Potomac, MD 20854 | Physician/surgeon | 2020-02-20 ~ 2020-07-31 |
| Victor Tseng | 9909 Chapel Road, Potomac, MD 20854 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Eric L Edelson | 11001 Haislip Ct, Potomac, MD 20854 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Candice M Siegenthaler | 9901 Bedfordshire Court, Potomac, MD 20854 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Stephen G Price | 11304 Bedfordshire Ave, Potomac, MD 20854 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 20854 | |||
| City | Potomac |
| Zip Code | 20854 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Potomac |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Albert K Ho | 535 E Crescent Ave, Ramsey, NJ 07446-2922 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Albert Do | 150 Still Hill Rd, Hamden, CT 06518-1827 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Albert S.m. Dunn | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Albert L Babcock | Simsbury, CT 06070 | Physician/surgeon | 2008-07-30 ~ 2009-06-30 |
| Sarah Ariana Albert | 12f, Bronx, NY 10457 | Physician/surgeon | ~ |
| J Albert Diaz | 226 White St, Danbury, CT 06810-6814 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Bryan Albert Terry | C/o 20 York St, New Haven, CT 06510 | Physician/surgeon | ~ |
| Albert D Ardao | 292 Pequot Ave, New London, CT 06320 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Albert E Diskan | 543 Porter St, Manchester, CT 06040 | Physician/surgeon | 1998-10-20 ~ 1999-12-31 |
| Albert Politis Md | 52 Beach Rd, Fairfield, CT 06430 | Physician/surgeon | 1999-11-03 ~ 2000-12-31 |
Please comment or provide details below to improve the information on ALBERT B DEISSEROTH.
| 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).