CARL B LUNDBORG (Credential# 540800) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
CARL B LUNDBORG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013621. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 4 Fox Hill Road, Woodbridge, CT 06525. The current status is active.
Licensee Name | CARL B LUNDBORG |
Credential ID | 540800 |
Credential Number | 1.013621 |
Credential Type | Physician/Surgeon |
Business Address |
4 Fox Hill Road Woodbridge CT 06525 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1968-09-05 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
149793 | CSP.0001537 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 4 Fox Hill Road |
City | Woodbridge |
State | CT |
Zip Code | 06525 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
Find all Licenses in zip 06525 |
City | Woodbridge |
Zip Code | 06525 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Woodbridge |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carl W Carlson | P.o. Box 513, Bristol, NH 03222 | Physician/surgeon | 1996-09-09 ~ 1997-09-30 |
Carl C Chi | 22 Goodrich Ln, Portland, CT 06480-1063 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Carl Ira Schoenberger | 955 Mix Ave Apt 1j, Hamden, CT 06514-5126 | Physician/surgeon | 1977-07-01 ~ 1982-09-30 |
Carl Ramsay | 530 E.85th St, New York, NY 10028 | Physician/surgeon | ~ |
Carl W Lindquist | P.o. Box 23, Chaplin, CT 06235-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Carl C D'andrea Md | 10 Pilgrim's Way, Gaylordsville, CT 06755 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Carl F Hinz Jr | 11 Highwood Dr, Avon, CT 06001 | Physician/surgeon | 2005-04-25 ~ 2006-04-30 |
Carl T. Shenkman | 200 2nd St South, St Petersburg, FL 33701 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Carl M Cassin | 301 Redstone Dr, Cheshire, CT 06410-1722 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Carl G Peterson Jr | 155 Edgemere Way So, Naples, FL 34105 | Physician/surgeon | 1997-08-18 ~ 1998-10-31 |
Please comment or provide details below to improve the information on CARL B LUNDBORG.
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).