DONNA J HAGBERG (Credential# 415847) 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.
DONNA J HAGBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038307. 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 59 Rockwood Ln, Greenwich, CT 06830. The current status is active.
| Licensee Name | DONNA J HAGBERG |
| Credential ID | 415847 |
| Credential Number | CSP.0038307 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
59 Rockwood Ln Greenwich CT 06830 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-09-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550297 | 1.032695 | Physician/Surgeon | 1992-11-27 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 162118 | CSP.0020831 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 59 ROCKWOOD LN |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard C Santarosa | 59 Rockwood Ln, Greenwich, CT 06830-3814 | Emergency Medical Technician | 2019-02-28 ~ 2021-12-31 |
| 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 |
|---|---|---|---|
| Jennifer M Hagberg | 200 Orcutt Dr, Guilford, CT 06437-2297 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna D Nunno | 9 Elm St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna A Whyte | 680 Mix Ave Apt 6a, Hamden, CT 06514-2338 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Donna M Reseska | 266 Broad St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Cobelli Dvm | 77 Danbury Rd, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 1994-08-04 ~ 1996-08-01 |
| Jennifer Spreer | 2 Donna Dr, Poughkeepsie, NY 12603-5612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Vernon | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
| Donna J Lamonica | 5 Perryridge Rd, Greenwich, CT 06830-4697 | Controlled Substance Registration for Practitioner | 2011-06-13 ~ 2013-02-28 |
| Donna Bouchard | 9 Barry Ln, Simsbury, CT 06070-2001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Loan T Phan | 12 Donna Rd, Worcester, MA 01609-1145 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DONNA J HAGBERG.
| 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).