LEIF O. NORDBERG M.D. LLC (Credential# 929693) is licensed (Out-patient Surgical Facility) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is September 30, 2015. The license status is CLOSED.
LEIF O. NORDBERG M.D. LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #ASC.0000316. The credential type is out-patient surgical facility. The effective date is October 1, 2013. The expiration date is September 30, 2015. The business address is 166 W Broad St Ste 401, Stamford, CT 06902-3654. The current status is closed.
| Licensee Name | LEIF O. NORDBERG M.D. LLC |
| Business Name | LEIF O. NORDBERG M.D. LLC |
| Doing Business As | OFFICE OF LEIF O. NORDBERG, M.D. |
| Credential ID | 929693 |
| Credential Number | ASC.0000316 |
| Credential Type | Out-Patient Surgical Facility |
| Business Address |
166 W Broad St Ste 401 Stamford CT 06902-3654 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | CLOSED - CLOSED |
| Issue Date | 2009-10-01 |
| Effective Date | 2013-10-01 |
| Expiration Date | 2015-09-30 |
| Refresh Date | 2015-09-10 |
| Street Address | 166 W BROAD ST STE 401 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3654 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Out-Patient Surgical Facility |
| License Type + County | Out-Patient Surgical Facility + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leif O Nordberg Md LLC | 2001 W Main St Ste 155, Stamford, CT 06902-4557 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leif O Nordberg Md | 2001 W Main St Ste 150, Stamford, CT 06902-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leif Vik · Leif Vik Custom Builder | 1135 Mill Hill Rd, Southport, CT 06890-3020 | Home Improvement Contractor | 2020-06-10 ~ 2020-11-30 |
| Surgical Center of Connecticut, LLC, The | 4920 Main St, Bridgeport, CT 06606-1300 | Out-patient Surgical Facility | 2020-04-01 ~ 2022-03-31 |
| Ridgefield Surgical Center LLC · Ridgefield Surgical Center, LLC | 901 Ethan Allen Highway, Ridgefield, CT 06877 | Out-patient Surgical Facility | 2010-07-01 ~ 2012-06-30 |
| Shr Surgical Center Limited Partnership · Stamford Surgical Center | 32 Strawberry Hill Court, Stamford, CT 06902 | Out-patient Surgical Facility | 2002-08-30 ~ 2004-06-30 |
| Surgical Center of Ct. Limited Liability Company · Surgical Center of Ct., LLC | 3101 Main St, Bridgeport, CT 06606-4263 | Out-patient Surgical Facility | 2013-04-01 ~ 2015-03-31 |
| Ssc II LLC · Ssc II, LLC | 111 Goose Ln, Guilford, CT 06437-5101 | Out-patient Surgical Facility | 2016-10-01 ~ 2018-09-30 |
| Conversion Data · Middlesex Surgical Center | 530 Saybrook Road, Middletown, CT 06457 | Out-patient Surgical Facility | ~ 1997-09-30 |
| Neil A. Gordon M.d. P.C. · Split Rock Surgical Associates | 539 Danbury Rd, Wilton, CT 06897-2216 | Out-patient Surgical Facility | 2018-10-01 ~ 2020-09-30 |
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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).