BETH M ROSENBERG PA
Physician Assistant


Address: 14 Westview Dr, Enfield, CT 06082

BETH M ROSENBERG PA (Credential# 741936) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 9, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.

Business Overview

BETH M ROSENBERG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000187. The credential type is physician assistant. The effective date is August 9, 2004. The expiration date is September 30, 2005. The business address is 14 Westview Dr, Enfield, CT 06082. The current status is inactive.

Basic Information

Licensee Name BETH M ROSENBERG PA
Credential ID 741936
Credential Number 23.000187
Credential Type Physician Assistant
Business Address 14 Westview Dr
Enfield
CT 06082
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-10-08
Effective Date 2004-08-09
Expiration Date 2005-09-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
340956 CSP.0033754 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 14 WESTVIEW DR
City ENFIELD
State CT
Zip Code 06082

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Kaitlyn A Pelligrinelli 38 Haynes St, Enfield, CT 06082 Registered Nurse 2020-07-01 ~ 2021-06-30
Sharon M Smith 11 Eleanor Rd, Enfield, CT 06082 Registered Nurse 2020-07-01 ~ 2021-06-30
Kerry A Tanguay · Lang 11 Somers Road, Enfield, CT 06082 Registered Nurse 2020-07-01 ~ 2021-06-30
Colleen E Galbraith 12 Southview St, Enfield, CT 06082 Registered Nurse 2020-07-01 ~ 2021-06-30
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Catherine R Mcculloch 84 Wynwood Drive, Enfield, CT 06082 Registered Nurse 2020-08-01 ~ 2021-07-31
Phillip G Seidel 318 North Maple St, Enfield, CT 06082 Optician 2020-05-01 ~ 2021-04-30
Matthew Crossen 19 Elan Street, Enfield, CT 06082 Real Estate Salesperson 2020-06-19 ~ 2021-05-31
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Jessica G Martin 72 Belmont Ave, Enfield, CT 06082 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
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Competitor

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City ENFIELD
Zip Code 06082
License Type Physician Assistant
License Type + County Physician Assistant + ENFIELD

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Dataset Information

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).

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