KEITH ROSENBERG (Credential# 1670115) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 20, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEITH ROSENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071640. The credential type is controlled substance registration for practitioner. The effective date is June 20, 2019. The expiration date is February 28, 2021. The business address is 111 West St, Portland, ME 04102-3416. The current status is active.
| Licensee Name | KEITH ROSENBERG |
| Credential ID | 1670115 |
| Credential Number | CSP.0071640 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 West St Portland ME 04102-3416 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-20 |
| Effective Date | 2019-06-20 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1637437 | 1.063581 | Physician/Surgeon | 2019-06-04 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 111 WEST ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3416 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary E Duford | 53 Chadwick Street, Portland, ME 04102 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kristen E Culmo | 214 Brackett St, Portland, ME 04102 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Robert J Cleveland | 240 Park Avenue, Portland, ME 04102 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
| Alison J Lanman | 40 Mitton Street, Portland, ME 04102 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Nichole Bickley | 50 County Way, Portland, ME 04102 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
| David Washburn · P G Vinyl Windows | 69 Whitney Ave, Portland, ME 04102 | Home Improvement Salesperson | 1996-08-13 ~ 1996-11-30 |
| Robert J Rohner · Carpentry and Renovation | 152 Bolton St, Portland, ME 04102 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| David A Lamarche | 91 Neal St, Portland, ME 04102 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Paul S Stevens | 21 Thomas St, Portland, ME 04102 | Architect | 2014-08-01 ~ 2015-07-31 |
| John P Griffin | 195 Fore River Parkway, Portland, ME 04102 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Find all Licenses in zip 04102 | |||
| City | PORTLAND |
| Zip Code | 04102 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mindy Rosenberg Md | 680 Mix Ave Apt 5-n, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1993-04-23 ~ 1995-04-01 |
| Clifford Rosenberg Md | 81 Coe Street, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ralph Rosenberg Md | 38 Cheltenham Way, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David B Rosenberg | 9 Heather Dr, Framingham, MA 01701 | Controlled Substance Registration for Practitioner | 1995-03-01 ~ 1996-02-28 |
| Charles H Rosenberg Md | 304 Erskine Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Barry Rosenberg Md | 236 Dublin Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 1999-01-25 ~ 2000-02-28 |
| Steven I Rosenberg Md | 93 Elise Dr, Middletown, NY 10941-3363 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Rebecca E Rosenberg | 67 Pearl St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Beth J Rosenberg | 1171 E. Putnam Ave, #2b, Greenwich, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert D Rosenberg Dds | 109 Boston Post Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
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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).