MARY N TENENBAUM (Credential# 1233857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARY N TENENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053650. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 282 Perham St, Boston, MA 02132. The current status is active.
| Licensee Name | MARY N TENENBAUM |
| Credential ID | 1233857 |
| Credential Number | 1.053650 |
| Credential Type | Physician/Surgeon |
| Business Address |
282 Perham St Boston MA 02132 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-11-05 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-20 |
| Street Address | 282 Perham St |
| City | Boston |
| State | MA |
| Zip Code | 02132 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ben Freiberg | 352 Lagrange St., West Roxbury, MA 02132 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Kathryn Boyne | 10 Graham Ter, West Roxbury, MA 02132 | Licensed Clinical Social Worker | ~ |
| James Pappas | 264 Temple St, West Roxbury, MA 02132 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Kate Larsen | 15 Lorette Street, Boston, MA 02132 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Jacob Williams | 16 Bobolink St, West Roxbury, MA 02132 | Professional Counselor Associate | 2020-01-21 ~ 2020-11-30 |
| Michelle A Celentano | 8 Glenburnie Rd, West Roxbury, MA 02132 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ruth C Peterle-dzurec | 506 Lagrange Street, West Roxbury, MA 02132 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Bridgid Maeve O'brien | 665 West Roxbury Pkwy, West Roxbury, MA 02132 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Guixiao Li | 29 Maplewood Street, West Roxbury, MA 02132 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Michael A Severo | 92 Corey Street, West Roxbury, MA 02132 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 02132 | |||
| City | Boston |
| Zip Code | 02132 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Boston |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven J Tenenbaum | 8 Willow Brook Lane, Newtown, CT 06404 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Mary E Johnson | 88 Ridgewood Ave, Waterford, CT 06385 | Physician/surgeon | 1993-06-24 ~ 1994-01-03 |
| Mary M Sanders | 18 Timber La, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Mary Aldrene L Tan | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Mary L Sipski | 299 Longview Rd, Far Hills, NJ 07931 | Physician/surgeon | 2005-06-02 ~ 2006-07-31 |
| Mary Mulcare | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary P Olsen | 16 Main St, Farmington, CT 06032-2230 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary K Smentek | 78 Olive St #318, New Haven, CT 06510 | Physician/surgeon | 2006-02-06 ~ 2007-02-28 |
Please comment or provide details below to improve the information on MARY N TENENBAUM.
| 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).