STEPHANIE EISENBARTH (Credential# 564303) 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.
STEPHANIE EISENBARTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046721. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 330 Cedar St # Cb407, New Haven, CT 06510-3218. The current status is active.
| Licensee Name | STEPHANIE EISENBARTH |
| Credential ID | 564303 |
| Credential Number | 1.046721 |
| Credential Type | Physician/Surgeon |
| Business Address |
330 Cedar St # Cb407 New Haven CT 06510-3218 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 414528 | CSP.0038184 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-23 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 330 CEDAR ST # CB407 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3218 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tamas Horvath | Yale University, Section of Cmed, Bml 330, New Haven, CT 06510-3218 | Medical Marijuana Research Program Employee | 2019-08-30 ~ 2020-08-29 |
| Matija Sestan-pesa | Yale University, Cmed, Bml 316, New Haven, CT 06510-3218 | Medical Marijuana Research Program Employee | 2019-08-31 ~ 2020-08-30 |
| Kimberly A Davis Md | 330 Cedar St # Bb310, New Haven, CT 06510-3218 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Wendy Leung | 310 Cedar St Fmb 320, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Susana Vargas Pinto | 330 Cedar St, New Haven, CT 06510-3218 | Resident Physician | 2019-08-01 ~ 2021-06-30 |
| Neeta J Erinjeri | 330 Cedar St Fmb 107, New Haven, CT 06510-3218 | Resident Physician | 2017-08-01 ~ 2021-06-30 |
| Umer M Darr | 330 Cedar St # Bb204, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John Morton | 310 Cedar St Bml 229, New Haven, CT 06510-3218 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Deepika Kumar | 310 Cedar St # Lh108, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
| Emre Seli | 310 Cedar St Fmb 228, New Haven, CT 06510-3218 | Controlled Substance Laboratory | 2020-02-25 ~ 2021-01-31 |
| Find all Licenses in zip 06510-3218 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie C Eisenbarth · Yale University School of Medicine | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Stephanie V Ng | 168 Linden St, Apt C2, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie A Salas | 450 W 42nd St Apt 38h, New York, NY 10036-8213 | Physician/surgeon | ~ |
| Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Mullany | P.o Box 480, Terra Ceia, FL 34250 | Physician/surgeon | 2008-08-25 ~ 2009-08-31 |
| Stephanie A Christensen | 16 Canborne Way, Madison, CT 06443 | Physician/surgeon | 1994-05-13 ~ 1995-05-31 |
| Stephanie A Garozzo | 1 Grove St Fl 2, New Britain, CT 06053-4116 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stephanie J Saucier | 246 Richard St, Newington, CT 06111 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stephanie Leeds | 39 Midbrook Ln, Old Greenwich, CT 06870-1427 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie J Gargani | 18 Chestnut Ave, Pelham, NY 10803-1004 | Physician/surgeon | 2014-05-01 ~ 2015-05-31 |
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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).