JOEL H EISENBERG (Credential# 540817) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
JOEL H EISENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013679. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is Paulden, AZ 86634. The current status is inactive.
| Licensee Name | JOEL H EISENBERG |
| Credential ID | 540817 |
| Credential Number | 1.013679 |
| Credential Type | Physician/Surgeon |
| Business Address |
Paulden AZ 86634 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1969-01-02 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| City | Paulden |
| State | AZ |
| Zip Code | 86634 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan B Eisenberg | 3975 W Ravengard Rd, Paulden, AZ 86334 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Joel H Eisenberg Md PC | 3975 W. Ravengard Rd., Paulden, AZ 86334 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| City | Paulden |
| Zip Code | 86634 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Paulden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
| Amy B Eisenberg | 600 Mamaroneck Ave, Harrison, NY 10528-1635 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Harvey Eisenberg | 12 Dawn Drive, Westport, CT 06880 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
| Nina Eisenberg Md | 3450 Wayne Ave, Bronx, NY 10467 | Physician/surgeon | 2002-07-08 ~ 2003-06-30 |
| Sidney E Eisenberg | Orchard Cove, Canton, MA 02021 | Physician/surgeon | 1998-12-17 ~ 2000-01-31 |
| Thalia Acosta Eisenberg | 37 Garfield Rd, West Hartford, CT 06107-1713 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Joel H Eisenberg Md PC | 3975 W. Ravengard Rd., Paulden, AZ 86334 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| David Joel Eisenberg | 217 N Highland Ave Apt 4202, Ossining, NY 10562-2943 | Controlled Substance Registration for Practitioner | 2016-12-08 ~ 2019-02-28 |
| Joel D Marcus | 33 Cedar St, Rye, NY 10580 | Physician/surgeon | 1997-09-15 ~ 1998-06-30 |
Please comment or provide details below to improve the information on JOEL H EISENBERG.
| 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).