ELEANORE K BLACK (Credential# 2052408) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 4, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELEANORE K BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074348. The credential type is controlled substance registration for practitioner. The effective date is June 4, 2020. The expiration date is February 28, 2021. The business address is 38 Volunteer Ln Apt 4, Greenwich, CT 06830-5414. The current status is active.
| Licensee Name | ELEANORE K BLACK |
| Credential ID | 2052408 |
| Credential Number | CSP.0074348 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
38 Volunteer Ln Apt 4 Greenwich CT 06830-5414 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-04 |
| Effective Date | 2020-06-04 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-06-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1415745 | CSP.0065133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-04-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 2021163 | 1.065343 | Physician/Surgeon | 2020-04-29 | 2020-04-29 - 2020-12-31 | ACTIVE |
| 1487715 | 1.057402-RES | Resident Physician | 2017-06-26 | 2017-06-26 - 2020-06-22 | INACTIVE |
| Street Address | 38 VOLUNTEER LN APT 4 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-5414 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer R Hewlett | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
| Mustafa U Khan | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
| Catherine L Teng | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
| Devesh Dalmia | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
| Victoria L Billero | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2019-06-24 |
| Carolyn L Stegall | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Find all Licenses in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Harless | 100 Black Rock Lighthouse Road, Black Rock, NS B1X 2A3 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Jonathan D Black | 120 Knollwood Dr, New Haven, CT 06515-2459 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eric W Black | 365 Mather St Apt 197, Hamden, CT 06514-3151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah Black | 2127 Talmage Dr, Leland, NC 28451-9340 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David L Black | 31 Old Nursery Drive, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2013-06-17 ~ 2015-02-28 |
| Donald R Black Md | 3618 Pinetree Ave Sw, Concord, NC 28027-2712 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ryan W. T. Black | 400 Nelson Ave, Cliffside Park, NJ 07010-1817 | Controlled Substance Registration for Practitioner | 2017-09-09 ~ 2019-02-28 |
| Robert Black | 26 Burlington Road, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aba A Black | 1450 Chapel Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelley L Etheridge | 88 Black Walnut Dr, Durham, CT 06422-1400 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).