LEIF O NORDBERG MD LLC (Credential# 1303948) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LEIF O NORDBERG MD LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061239. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2001 W Main St Ste 155, Stamford, CT 06902-4557. The current status is active.
| Licensee Name | LEIF O NORDBERG MD LLC |
| Business Name | LEIF O NORDBERG MD LLC |
| Credential ID | 1303948 |
| Credential Number | CSP.0061239 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2001 W Main St Ste 155 Stamford CT 06902-4557 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| Street Address | 2001 W MAIN ST STE 155 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-4557 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cvw Body Design Center-stamford | 2001 W Main St Ste 155, Stamford, CT 06902-4557 | Out-patient Surgical Facility | 2019-07-01 ~ 2021-06-30 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leif O. Nordberg M.d. LLC · Office of Leif O. Nordberg, M.d. | 166 W Broad St Ste 401, Stamford, CT 06902-3654 | Out-patient Surgical Facility | 2013-10-01 ~ 2015-09-30 |
| Leif O Nordberg Md | 2001 W Main St Ste 150, Stamford, CT 06902-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen P Nordberg Md | 4 Nappa Dr, Westport, CT 06880-5117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leif E Washer | 546 S Broad St, Meriden, CT 06450-6600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leif E Petterson | 945 Brooks Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leif C Lovig | 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Leif Vik · Leif Vik Custom Builder | 1135 Mill Hill Rd, Southport, CT 06890-3020 | Home Improvement Contractor | 2020-06-10 ~ 2020-11-30 |
| Carl A Nordberg | 1011 S Mears Ave, Whitehall, MI 49461 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laura A Benedetto · Nordberg | 30 Field Road, Cromwell, CT 06416 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Gertrude E Nordberg | 12 Laurel Dr, West Hartford, CT 06100 | Notary Public Appointment | 1967-11-01 ~ 1972-03-31 |
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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).