ROBERT NEWBORN (Credential# 1157715) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.
ROBERT NEWBORN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054499. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 39 Mayberry Rd, Chappaqua, NY 10514-1119. The current status is inactive.
| Licensee Name | ROBERT NEWBORN |
| Credential ID | 1157715 |
| Credential Number | CSP.0054499 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
39 Mayberry Rd Chappaqua NY 10514-1119 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2013-04-09 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1150811 | 1.051736 | Physician/Surgeon | 2013-03-27 | 2017-03-01 - 2018-02-28 | INACTIVE |
| Street Address | 39 MAYBERRY RD |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514-1119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph M Tuggle IIi | Complete Newborn Care, PC, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Robert F Maier | 9 Robert Street, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Robert C. Piela | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 | |
| Robert J Conrad Md | Po Box 747, Koloa, HI 96756 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Robert Lam | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-08-07 ~ 2021-02-28 |
| Robert L Trestman | 7 Ann Mar Ln, Simsbury, CT 06070-1132 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Robert S Wetmore Md | P.o. Box 490, Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lee Pu Md | 33-c Robert Treat Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1996-01-10 ~ 1997-02-28 |
| Robert L Fair Vmd | 208 Rte 81, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2019-04-26 ~ 2021-02-28 |
| Robert Qiu | 76 Ship Ave Apt 3, Medford, MA 02155 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ROBERT NEWBORN.
| 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).