JESSICA K ROSENBERG (Credential# 1215596) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
JESSICA K ROSENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053037-DO. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 805 Atlantic St, Stamford, CT 06902-6805. The current status is inactive.
| Licensee Name | JESSICA K ROSENBERG |
| Credential ID | 1215596 |
| Credential Number | 1.053037-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
805 Atlantic St Stamford CT 06902-6805 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-05-09 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1222108 | CSP.0057163 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-22 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 805 ATLANTIC ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-6805 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stamford Community Health Center | 805 Atlantic St, Stamford, CT 06902-6805 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Stamford Community Health Center, Inc. | 805 Atlantic St, Stamford, CT 06902-6805 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philippe B Rosenberg | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | ~ |
| Robert E Rosenberg | 23 Kent Rd, Scarsdale, NY 10583-2303 | Physician/surgeon | 2012-12-27 ~ 2013-10-31 |
| Eric L Rosenberg | 15 Bay Rd, East Hampton, CT 06424-2002 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joseph S. Rosenberg | 15 Briar Ln, Jericho, NY 11753-2211 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Clifford B Rosenberg | 81 Coe Street, Winsted, CT 06098 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Carl E Rosenberg | 3010 Brown Rd, Ashtabula, OH 44004-9516 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Franklin I Rosenberg Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kenneth P Rosenberg | 110 East 71st St, New York, NY 10021 | Physician/surgeon | 2002-09-23 ~ 2003-10-31 |
| Julia Rosenberg | 1050 State St Apt 505, New Haven, CT 06511-2777 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Edward M Rosenberg | 58 Mcguffey Lane, Delmar, NY 12054 | Physician/surgeon | 1995-05-08 ~ 1996-02-29 |
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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).