STEPHEN M WITTENBERG (Credential# 539884) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 25, 1996. The license expiration date date is October 31, 1997. The license status is INACTIVE.
STEPHEN M WITTENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011081. The credential type is physician/surgeon. The effective date is September 25, 1996. The expiration date is October 31, 1997. The business address is 256 Overbrook Rd, Long Meadow, MA 01106. The current status is inactive.
Licensee Name | STEPHEN M WITTENBERG |
Credential ID | 539884 |
Credential Number | 1.011081 |
Credential Type | Physician/Surgeon |
Business Address |
256 Overbrook Rd Long Meadow MA 01106 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1962-08-24 |
Effective Date | 1996-09-25 |
Expiration Date | 1997-10-31 |
Refresh Date | 2009-07-08 |
Street Address | 256 OVERBROOK RD |
City | LONG MEADOW |
State | MA |
Zip Code | 01106 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01106 |
City | LONG MEADOW |
Zip Code | 01106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LONG MEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Beth Wittenberg | 1817 Black Rock Tpke Ste 206, Fairfield, CT 06825-3546 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Board of Directors of Wittenberg College | 200 W Ward St, Springfield, OH 45504-2120 | Public Charity-exempt From Financial Requirements | 2017-03-01 ~ |
Stephen L Curry | Po Box 491, Litchfield, CT 06759 | Physician/surgeon | 2004-06-18 ~ 2005-08-31 |
Stephen T. Moran | 20 E 22nd St, New York, NY 10010-6101 | Physician/surgeon | ~ |
J. Stephen Roy | 7a Ludlow Rd, Westport, CT 06880-3043 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Stephen J Horgan | 26 Alton Ct Apt 2, Brookline, MA 02446-6535 | Physician/surgeon | ~ |
Stephen A Moe | Po Box 2236, New Haven, CT 06520 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Stephen M Dorros | Po Box, Santa Fe, CA 92067 | Physician/surgeon | 1975-04-02 ~ 1978-05-31 |
Stephen R Barone | 320 E 46th St Apt 16e, New York, NY 10017-3025 | Physician/surgeon | ~ |
Stephen Andreoni | 162 Bay Ave, Halesite, NY 11743 | Physician/surgeon | 2016-11-30 ~ 2017-08-31 |
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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).