HENRY J ISSENBERG MD (Credential# 504276) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
HENRY J ISSENBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043582. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524. The current status is lapsed.
| Licensee Name | HENRY J ISSENBERG MD |
| Credential ID | 504276 |
| Credential Number | CSP.0043582 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Sunshine Cottage Rd Valhalla NY 10595-1524 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2008-06-23 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563417 | 1.045835 | Physician/Surgeon | 2007-09-05 | 2017-10-01 - 2018-09-30 | INACTIVE |
| Street Address | 40 SUNSHINE COTTAGE RD |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1524 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Markus Erb | 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 | Controlled Substance Registration for Practitioner | 2019-05-03 ~ 2021-02-28 |
| Jordan Brittni Milner | 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 | Physician/surgeon | 2020-05-08 ~ 2020-11-30 |
| Leif C Lovig | 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| New York Medical College | 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 | Public Charity-exempt From Financial Requirements | 2017-06-15 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily R Segal · Reichert | 35 Taylor Road, Valhalla, NY 10595 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sahil Munjal | 100 Woods Road, Valhalla, NY 10595 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Isaac H. Shalom | Westchester Medical Center, New York, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas D Cerabona | 401 Columbus Ave, Valhalla, NY 10595 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joanne R Ricciardella | 364 Grasslands Road, Valhalla, NY 10595 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Sunny D Mitchell | Dept of Surgery, Valhalla, NY 10595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Marcon Group Ltd · Gregg D Smolev | 120 Prospect Ave., Valhalla, NY 10595 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Emma Caitlin Mason | 45 Pamela Lane, Valhalla, NY 10595 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Katherine Osborn-jones | 115 South Kensico, Valhalla, CT 10595 | Registered Nurse | ~ |
| Incoronata Lileika | 21 Locust St., Valhalla, NY 10595 | Audiologist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10595 | |||
| City | VALHALLA |
| Zip Code | 10595 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VALHALLA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry B C Low Md | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dan A Henry | 115 Orchard Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Henry H Frenkel Md | 132 Valley Cir, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Henry E Markley Md | 16 Wyngate Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Henry Lin Md | 10 City Pl Apt 23c, White Plains, NY 10601-3344 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kelly A Kyanko Md | 75 Henry St Apt 28c, Brooklyn, NY 11201-1963 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Maria A Henry | 12 Mountaincrest Dr, Cheshire, CT 06410-3553 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Henry C Ho | 20 York Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-05-31 ~ 2015-02-28 |
| Henry Stoll Pa | 629 Willow St, Mamaroneck, NY 10543 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Henry P Chicaiza | 11 Quail Run Rd, Suffield, CT 06078-1802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on HENRY J ISSENBERG MD.
| 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).