M MICHAEL EISENBERG
Physician/surgeon


Address: 36 E 72 St Apt #2n, New York, NY 10021

M MICHAEL EISENBERG (Credential# 539323) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 19, 2007. The license expiration date date is January 31, 2008. The license status is INACTIVE.

Business Overview

M MICHAEL EISENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008976. The credential type is physician/surgeon. The effective date is January 19, 2007. The expiration date is January 31, 2008. The business address is 36 E 72 St Apt #2n, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name M MICHAEL EISENBERG
Credential ID 539323
Credential Number 1.008976
Credential Type Physician/Surgeon
Business Address 36 E 72 St Apt #2n
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1958-12-03
Effective Date 2007-01-19
Expiration Date 2008-01-31
Refresh Date 2009-07-08

Office Location

Street Address 36 E 72 ST APT #2N
City NEW YORK
State NY
Zip Code 10021

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City NEW YORK
Zip Code 10021
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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Dataset Information

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).

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