REBECCA KLEBAN MD (Credential# 343207) 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 INACTIVE.
REBECCA KLEBAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033645. 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 5 Berkley Drive, Rye Brook, NY 10573. The current status is inactive.
| Licensee Name | REBECCA KLEBAN MD |
| Credential ID | 343207 |
| Credential Number | CSP.0033645 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Berkley Drive Rye Brook NY 10573 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2003-06-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559030 | 1.041447 | Physician/Surgeon | 2003-05-12 | 2016-01-01 - 2016-12-31 | INACTIVE |
| Street Address | 5 BERKLEY DRIVE |
| City | RYE BROOK |
| State | NY |
| Zip Code | 10573 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Cristina Perez | 10 Nella Lane, Port Chester, NY 10573 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Santander Contracting LLC | 304 Locust Ave, Port Chester, NY 10573 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Starlyn Adames | 65 1/2 Poningo St, Port Chester, NY 10573 | Occupational Therapist | ~ |
| Juliana C Alzate | 140 Grace Church St, Port Chester, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Editha M Comia | 480 King St, Port Chester, NY 10573 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl P Lopez | 14 Fawcett Street, Port Chester, NY 10573 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Madeline X Cole-short | 40 Quintard Dr., Port Chester, NY 10573 | Emergency Medical Responder | ~ |
| Helene A Kimmons | 9 Burdsall Drive, Port Chester, NY 10573 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leukemia & Lymphoma Society Inc | 3 International Drive, Rye Brook, NY 10573 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Robert M Tramontano | 80 Doral Greens Drive West, Rye Brook, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10573 | |||
| City | RYE BROOK |
| Zip Code | 10573 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RYE BROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Eleck | 59 North St, Middlebury, CT 06762-2309 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca E Bruccoleri | 416 Marlborough St Apt 406, Boston, MA 02115-1500 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Rebecca M Rieger | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Rebecca A Keller | 230 Sunnyfield Dr, Windsor, CT 06095-3277 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Rebecca Cohn | 205 Church St Apt 4d, New Haven, CT 06510-1883 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Crichton Md | 80 Cottage St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Rebecca Gofman | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca E Hommer | 405 Reading Ave, Rockville, MD 20850-1520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca L Decillis | 4 Ells St, Norwalk, CT 06850-1904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Sonick | 255 Cherry St., Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 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).