AMANDA R LIEBERMAN PA (Credential# 471982) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
AMANDA R LIEBERMAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041533. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1063 Mosser Rd Apt U201, Breinigsville, PA 18031-1405. The current status is inactive.
Licensee Name | AMANDA R LIEBERMAN PA |
Credential ID | 471982 |
Credential Number | CSP.0041533 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1063 Mosser Rd Apt U201 Breinigsville PA 18031-1405 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2007-05-29 |
Effective Date | 2009-03-01 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
743647 | 23.001898 | Physician Assistant | 2007-03-30 | 2010-03-01 - 2011-02-28 | INACTIVE |
Street Address | 1063 MOSSER RD APT U201 |
City | BREINIGSVILLE |
State | PA |
Zip Code | 18031-1405 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Twin Med LLC | 860 Nestle Wy Suite #300, Breinigsville, PA 18031 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
B Braun Medical Inc | 200 Boulder Drive, Breinigsville, PA 18031 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Rosalie C Wild | 1479 Saratoga Circle, Breinigsville, PA 18031 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Margaret A Peoples | 1055 Cetronia Road Apt 22-13, Breinigsville, PA 18031 | Notary Public Appointment | 2018-06-01 ~ 2023-05-31 |
Wakefern Food Corp | 8301 Industrial Blvd, Breinigsville, PA 18031-1246 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-07-01 ~ 2016-06-30 |
William E Sullivan | 1063 Mosser Rd, Breinigsville, PA 18031-1353 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Great Spring Waters of America Inc | 405 Nestle Way, Breinigsville, PA 18031-1500 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
Fisher Clinical Services Inc | 700 Nestle Way # A, Breinigsville, PA 18031-1522 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Geodis Logistics LLC | 651 Boulder Dr, Breinigsville, PA 18031-1531 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
B Braun Interventional Systems Inc | 200 Boulder Dr, Breinigsville, PA 18031-1532 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
Find all Licenses in zip 18031 |
City | BREINIGSVILLE |
Zip Code | 18031 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BREINIGSVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ira N. Lieberman | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stephen J Lieberman Dds | 15 New Britain Ave, Unionville, CT 06085-1277 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Ryan M Lieberman | 7 Buckthorn Rd, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jay R Lieberman Md | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Douglas Jason Lieberman | 6 Conifer Lane, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2018-12-27 ~ 2021-02-28 |
Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
Amanda N Rea | 195 Broadmere Rd, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amanda H Uva | 6 Chiltern St, Farmington, CT 06032-1533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amanda J Ponte | 11 South Rd Ste 250, Farmington, CT 06032-2484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amanda E Lefkowitz Md | 100 Grand St, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
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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).