ZIVA STAUBER (Credential# 994646) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ZIVA STAUBER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050287. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3 Maryland Farms, Brentwood, TN 37027. The current status is active.
Licensee Name | ZIVA STAUBER |
Credential ID | 994646 |
Credential Number | 1.050287 |
Credential Type | Physician/Surgeon |
Business Address |
3 Maryland Farms Brentwood TN 37027 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2011-09-02 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1255337 | CSP.0059037 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-01-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 3 Maryland Farms |
City | Brentwood |
State | TN |
Zip Code | 37027 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Adam Paul Juersivich | 3 Maryland Farms, Brentwood, TN 37027 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Susan Victoria Ellor | 3 Maryland Farms, Brentwood, TN 37027 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
John Della Badia Jr. | 3 Maryland Farms, Brentwood, TN 37027 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Aubrey W Richardson | 3 Maryland Farms, Brentwood, TN 37027 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jun Zhao | 3 Maryland Farms, Brentwood, TN 37027 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Palina Beck | 1316 Sweetwater Drive, Brentwood, TN 37027 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Francine E Schwartz | 9400 Greyjoy Drive, Brentwood, TN 37027 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Global Sanctuary for Elephants | 9010 Hood Place, Brentwood, TN 37027 | Public Charity | 2020-06-01 ~ 2021-05-31 |
Fintop Fund II Qp, Lp | 7101 Executive Enter Dr, Ste 197, Brentwood, TN 37027 | Securities - Exemptions | 2020-03-18 ~ |
Jason A. Soriano | Specialtycare, Inc., Brentwood, TN 37027 | Physician/surgeon | 2020-03-11 ~ 2020-09-30 |
Sherri Tolley Hood | 1622 Moores Ct., Brentwood, TN 37027 | Registered Nurse | ~ |
Richard S Frank | 105 Westwood Place, Brentwood, TN 37027 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Curtis Paul Ingram | 212 Overlook Cir, Ste 105, Brentwood, TN 37027 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Surendra Ramanna | 217 Ward Circle, Brentwood, TN 37027 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
La Tania Michelle Akers-white | 5500 Maryland Way, Brentwood, TN 37027 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 37027 |
City | Brentwood |
Zip Code | 37027 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Brentwood |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sheryl Cohen | 37 Stauber Dr, Plainview, NY 11803-4844 | Physician/surgeon | ~ |
A Second Chance for Ziva Inc | 44 Brookmoor Road, Avon, CT 06001 | Animal Importer | 2019-01-01 ~ 2020-12-31 |
A Second Chance for Ziva Inc | 19 Walmsley Rd, Darien, CT 06820-5130 | Public Charity-exempt From Financial Requirements | 2017-09-27 ~ |
Ziva's Meat Market | 27 S Colony Rd, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2007-08-01 ~ 2008-07-31 |
Staub Stauber | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2002-07-13 ~ 2004-07-12 |
Hermine Stauber | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2002-07-13 ~ 2004-07-12 |
Irving M Mintz | 32 Stauber Drive, Plainview, NY 10803 | Certified Public Accountant License | 1999-01-01 ~ 1999-12-31 |
Holly O'brien Stauber | 46 Songbird Lane, Farmington, CT 06032 | Notary Public Appointment | 1994-07-01 ~ 1999-06-30 |
Eric R Stauber · E R S Plumbing | 43 Old Ansonia Rd, Seymour, CT 06483-3512 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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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).