BEVERLY J DRUCKER MD (Credential# 560579) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
BEVERLY J DRUCKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042997. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 77 Lafayette Place, Greenwich, CT 06830. The current status is active.
Licensee Name | BEVERLY J DRUCKER MD |
Credential ID | 560579 |
Credential Number | 1.042997 |
Credential Type | Physician/Surgeon |
Business Address |
77 Lafayette Place Greenwich CT 06830 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2004-12-16 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
393260 | CSP.0036918 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-01-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 77 LAFAYETTE PLACE |
City | GREENWICH |
State | CT |
Zip Code | 06830 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barbara A Ward Md | 77 Lafayette Place, Greenwich, CT 06830 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Merlin Lee Md | 77 Lafayette Place, Greenwich, CT 06830 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Dickerman Hollister Jr | 77 Lafayette Place, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Md Herbert F. Gretziii | 77 Lafayette Place, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 1993-12-14 ~ 1995-09-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Find all Licenses in zip 06830 |
City | GREENWICH |
Zip Code | 06830 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S. Drucker | 8829 San Jose Blvd, Jacksonville, FL 32217-4231 | Physician/surgeon | 1970-08-06 ~ 1981-11-30 |
David W Drucker | 1360 No Lake Shore, Chicago, IL 60610 | Physician/surgeon | 1997-12-22 ~ 1998-12-31 |
Carol A Westbrook | Po Box 444, Beverly Shores, IN 46301-0444 | Physician/surgeon | ~ |
Amanda Ramos | 110 Beverly St Apt 636, Boston, MA 02114-2257 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
Jacob S Kriteman | 83 Herrick St, Beverly, MA 01915 | Physician/surgeon | 2002-11-04 ~ 2003-12-31 |
Rakesh K Passi | 134-f Beverly Hill, Woodbridge, NJ 07095 | Physician/surgeon | 1994-12-29 ~ 1999-02-28 |
Glenn Ledesma | 602 N Roxbury Dr, Beverly Hills, CA 90210-3228 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
Homayoun Sadeghi | Box 3861, Beverly Hills, CA 90212 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Jeffrey W Weinstein | 249 Beverly Place, Oakwood, OH 45419 | Physician/surgeon | 1996-01-11 ~ 1997-01-31 |
Colin W Stokol | 818 S, Beverly Glen, Los Angeles, CA 90024 | Physician/surgeon | 2006-06-23 ~ 2007-06-30 |
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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).