JEROME M AUERBACH MD (Credential# 560897) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 19, 2006. The license expiration date date is October 31, 2007. The license status is INACTIVE.
JEROME M AUERBACH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043315. The credential type is physician/surgeon. The effective date is September 19, 2006. The expiration date is October 31, 2007. The business address is 610 North St, Pittsfield, MA 01201. The current status is inactive.
| Licensee Name | JEROME M AUERBACH MD |
| Credential ID | 560897 |
| Credential Number | 1.043315 |
| Credential Type | Physician/Surgeon |
| Business Address |
610 North St Pittsfield MA 01201 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-04-13 |
| Effective Date | 2006-09-19 |
| Expiration Date | 2007-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 410243 | CSP.0037781 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-07-13 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 610 NORTH ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert B Geehr Md | 610 North St, Pittsfield, MA 01230 | Physician/surgeon | 2007-01-25 ~ 2008-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia R Gardner | 289 Pomeroy Avenue, Pittsfield, MA 01201 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| E D M Services Inc | 100 West Street Ste# 210, Pittsfield, MA 01201 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Jeannine Huey | 24 Crystal St, Pittsfield, MA 01201 | Registered Nurse - Temporary | 2020-03-04 ~ 2020-07-02 |
| Dawn Shepherd | 102 Dickinson Ave, Pittsfield, MA 01201 | Registered Nurse | ~ |
| Brent M White | 8 Charisma Drive, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Seth E Bonacquisti | 20 Revilla Terr, Pittsfield, MA 01201 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Frank J Paskowski Jr | 107 Clydesdale Dr, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Roy M Andersen Jr | 22 Revere Parkway, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Harley Keisch | 197 View Dr, Pittsfield, MA 01201 | Registered Nurse | 2019-12-04 ~ 2020-10-31 |
| Robert E Post Jr | 233 Eleanor Road, Pittsfield, MA 01201 | Notary Public Appointment | 2019-10-15 ~ 2024-10-31 |
| Find all Licenses in zip 01201 | |||
| City | PITTSFIELD |
| Zip Code | 01201 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PITTSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter T Auerbach | 138 Shore Ave, Groton, CT 06340-5917 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Julia W Auerbach Md | 401 Federal Rd, Brookfield, CT 06804 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert D Auerbach | 29 Kimberly Lane, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Auerbach | 1100 Park Ave, New York, NY 10128-1202 | Physician/surgeon | 2009-03-12 ~ 2010-04-30 |
| Marc Auerbach Md | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jerome M Shevell | 51 Aberfoyle Rd, New Rochelle, NY 10804 | Physician/surgeon | 1996-02-14 ~ 1997-04-30 |
| Michel Paley | 36 Jerome Ave, New Rochelle, NY 10804-3804 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Jerome A Logan | First Health, Scottsdale, AZ 85251-1223 | Physician/surgeon | 1999-10-13 ~ 2000-12-31 |
| Jerome H Taylor Jr | 3939 Pine St Apt 3f, Philadelphia, PA 19104-4191 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Jerome Frazier | 4865 Las Alturas Dr, Las Cruces, NM 88011-7500 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
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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).