STEPHEN R GREENBERG MD (Credential# 553980) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 15, 1999. The license expiration date date is February 28, 2001. The license status is INACTIVE.
STEPHEN R GREENBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036388. The credential type is physician/surgeon. The effective date is December 15, 1999. The expiration date is February 28, 2001. The business address is 320 Pomfret Street, Putnam, CT 06260. The current status is inactive.
Licensee Name | STEPHEN R GREENBERG MD |
Credential ID | 553980 |
Credential Number | 1.036388 |
Credential Type | Physician/Surgeon |
Business Address |
320 Pomfret Street Putnam CT 06260 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1997-09-19 |
Effective Date | 1999-12-15 |
Expiration Date | 2001-02-28 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
187661 | CSP.0026177 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
Street Address | 320 POMFRET STREET |
City | PUTNAM |
State | CT |
Zip Code | 06260 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark Antony Notash | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Angela M Shamber Aprn | 320 Pomfret Street, Putnam, CT 06260 | Registered Nurse | 2018-07-01 ~ 2019-06-30 |
Sagar Verma | 320 Pomfret Street, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jaami Lm Rutledge | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Woman's Board of Day Kimball Hospital | 320 Pomfret Street, Putnam, CT 06260 | Raffle Permit Class 5 | 2012-03-05 ~ 2012-06-14 |
Day Kimball Hospital · Day Kimball Homecare Alsa | 320 Pomfret Street, Putnam, CT 06260 | Assisted Living Service Agency | 2005-06-30 ~ 2007-06-30 |
Janice E Katz | 320 Pomfret Street, Putnam, CT 06260 | Physician/surgeon | 2005-08-05 ~ 2006-05-31 |
Lucille Lanna Md · Day Kimball Hospital | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Richard E Arnold Md · Day Kimball Hospital | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 1996-07-12 ~ 1997-02-28 |
Charles D Guri | 320 Pomfret Street, Putnam, CT 06260 | Physician/surgeon | 1993-03-24 ~ 1994-04-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
Find all Licenses in zip 06260 |
City | PUTNAM |
Zip Code | 06260 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PUTNAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephen Robert Greenberg | 100 Motor Parkway, Hauppauge, NY 11788 | Physician/surgeon | ~ |
Stephen Harvey Greenberg | 40 Hart St, New Britain, CT 06052-1743 | Physician/surgeon | 1977-01-03 ~ 1992-11-30 |
Alissa K. Greenberg-lee | 29 Valley Rd, Scarsdale, NY 10583-1126 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
Kathryn L Greenberg | 33 Railroad Ave Apt 15, Milford, CT 06460-3388 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Sheldon B Greenberg | 761 Main Ave Ste 101, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Beth Ilene Greenberg | 4 Valley Rd, Lakeville, CT 06039-2120 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Jonathan S Greenberg Md | 21 Arundel Ave, West Hartford, CT 06107-1706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kenneth A Greenberg | 65 Eleven Levels Rd, Ridgefield, CT 06877-3038 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
Please comment or provide details below to improve the information on STEPHEN R GREENBERG 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).