ROBYN WIRSING BLACK (Credential# 1234090) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 4, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
ROBYN WIRSING BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053892. The credential type is physician/surgeon. The effective date is March 4, 2015. The expiration date is January 31, 2016. The business address is 245 Warsaw St, Swoyersville, PA 18704-2161. The current status is inactive.
Licensee Name | ROBYN WIRSING BLACK |
Credential ID | 1234090 |
Credential Number | 1.053892 |
Credential Type | Physician/Surgeon |
Business Address |
245 Warsaw St Swoyersville PA 18704-2161 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-03-04 |
Effective Date | 2015-03-04 |
Expiration Date | 2016-01-31 |
Refresh Date | 2016-05-05 |
Street Address | 245 WARSAW ST |
City | SWOYERSVILLE |
State | PA |
Zip Code | 18704-2161 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen L Brighindi-webb | 102 Park Ave, Swoyersville, PA 18704 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
Joshua Galanda | 71 Grace Street, Swoyersville, PA 18704 | Heating, Piping & Cooling Limited Journeyperson | ~ |
Roxanne S Orlando | 73 W Dorrance Street, Kingston, PA 18704 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Michael A Brown | 50 Snowden St, Fony Fort, PA 18704 | Tv & Radio Limited Dish Antenna Technician | ~ |
Loretta M Raven | 66 Granville Drive, Swoyersville, PA 18704 | Registered Nurse | 2008-10-06 ~ 2009-09-30 |
John J Bonchonsky | 305 Reynolds St, Kingston, PA 18704 | Pharmacist | 2008-02-05 ~ 2009-01-31 |
Randy J Ritsick | 86 Oliver St, Swogersville, NY 18704 | Tv & Radio Limited Dish Antenna Technician | ~ |
Jennifer Kardish | 46 Russell St, Edwardsville, PA 18704 | Licensed Practical Nurse | 2008-05-12 ~ 2009-06-30 |
Comfort Designs | 263 Schuyler Ave, Kingston, PA 18704 | Manufacturer of Bedding & Upholstered Furniture | ~ 1996-04-30 |
James A Paulson | 50-a Heisz St, Edwardsville, PA 18704 | Plumbing & Piping Unlimited Journeyperson | ~ |
Find all Licenses in zip 18704 |
City | SWOYERSVILLE |
Zip Code | 18704 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SWOYERSVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robyn Rebecca Heister | 4570 Executive Drive, San Diego, CA 92121 | Physician/surgeon | 2019-12-02 ~ 2020-06-30 |
Jed E Black | 200 Evergreen Ave, Hamden, CT 06518 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Robert D Black Md | 330 Blake Cir, Hamden, CT 06517 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Aftab A Awan | 56 Black Rock Ave, Apt 1, New Britain, CT 06052 | Physician/surgeon | 2000-06-01 ~ 2001-06-30 |
Laura Black | 26 Burlington Road, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Dan C Omohundro | 2371 Black Rock Tpk, Fairfield, CT 06432 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Debra L Gerson | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Robert L Plansky | 39 Black Twig Pl, Stamford, CT 06903-1835 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Dalliah M Black Md | Department of Surgery, New Haven, CT 06520 | Physician/surgeon | 2007-08-21 ~ 2008-09-30 |
Elyse R. Erlich | 18 Black Birch Ln, Scarsdale, NY 10583-7455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).