LUIS GRUBERG (Credential# 560582) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2006. The license expiration date date is May 31, 2007. The license status is INACTIVE.
LUIS GRUBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043000. The credential type is physician/surgeon. The effective date is May 24, 2006. The expiration date is May 31, 2007. The business address is 2 Brook Drive, Stony Brook, NY 11790. The current status is inactive.
| Licensee Name | LUIS GRUBERG |
| Credential ID | 560582 |
| Credential Number | 1.043000 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Brook Drive Stony Brook NY 11790 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-12-21 |
| Effective Date | 2006-05-24 |
| Expiration Date | 2007-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 2 Brook Drive |
| City | Stony Brook |
| State | NY |
| Zip Code | 11790 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryann Farina | 100 Patriots Road, Stony Brook, NY 11790 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Karen F Foda | 14 William Penn Dr, Stony Brook, NY 11790 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Gregory D Peterman | 4 Ormont Lane, Stony Brook, NY 11790 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| James R Tauby | 5 Botany Lane, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| William J Lahti | 8 Brookview Ct, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marie S Anderson | 3 Midfield Street, Stony Brook, NY 11790 | Notary Public Appointment | 1999-08-03 ~ 2004-08-31 |
| Jennifer L H Moller | Post Office Box 78, Stony Brook, NY 11790 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Anthom Building LLC | 8 Shore Road, Stony Brook, NY 11790 | New Home Construction Contractor | 2015-10-02 ~ 2017-09-30 |
| Frank M Russo | 51 Hargrove Drive, Stony Brook, NY 11790 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| James T Suazo | 5 Lilac Drive, Stony Brook, NY 11790 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Find all Licenses in zip 11790 | |||
| City | Stony Brook |
| Zip Code | 11790 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Stony Brook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luis Teba | Po Box 400, Wallingford, CT 06492-7048 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Luis R Gonzalez Md | Po Box 1451, Hartford, CT 06144 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Luis F Bieler | 84-23 Manton St 3-a, Briarwood, NY 11435 | Physician/surgeon | ~ 1996-11-30 |
| Luis E Berrutti | 7 Village Dr., Huntington, NY 11743 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Luis A Royer-jerez | Po Box 809, Logan, WV 25601 | Physician/surgeon | 1998-03-09 ~ 1999-02-28 |
| Luis T Aspauza | Ave Montagne 198, Lima 18 | Physician/surgeon | 1996-07-29 ~ 1997-04-30 |
| Luis A Avalos Md | 92 Strawberry St, Lisbon, CT 06351 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Luis Chapman | 805 Atlantic Street, Stamford, CT 06902 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Luis B Suarez | 1450 Chapel St # 136, New Haven, CT 06511-4405 | Physician/surgeon | 2015-11-18 ~ 2016-11-30 |
| Luis R Cruz | 6 Roxbury Lane, Wallingford, CT 06492 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Please comment or provide details below to improve the information on LUIS GRUBERG.
| 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).