ROBERT M ELISOFON MD (Credential# 541888) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2017. The license expiration date date is January 31, 2018. The license status is INACTIVE.
ROBERT M ELISOFON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016398. The credential type is physician/surgeon. The effective date is February 1, 2017. The expiration date is January 31, 2018. The business address is 492 Heritage Hills Dr Unit F, Somers, NY 10589. The current status is inactive.
| Licensee Name | ROBERT M ELISOFON MD |
| Credential ID | 541888 |
| Credential Number | 1.016398 |
| Credential Type | Physician/Surgeon |
| Business Address |
492 Heritage Hills Dr Unit F Somers NY 10589 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1974-01-02 |
| Effective Date | 2017-02-01 |
| Expiration Date | 2018-01-31 |
| Refresh Date | 2018-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149062 | CSP.0004220 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 492 HERITAGE HILLS DR UNIT F |
| City | SOMERS |
| State | NY |
| Zip Code | 10589 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alea Vorillas | 249 Us Route 202 3 Heritage 202 Center, Somers, NY 10589 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Frank John Tomasulo | 230b Heritage Hills Drive, Somers, NY 10589 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Paul C Nowak Md | 12 Susan Dr, Somers, NY 10589 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Sheila Finn | 562c Heritage Hills, Somers, NY 10589 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Carpenter | 827a Heritage Hills, Somers, NY 10589 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daniel Gifeisman | 6 Annarock Dr, Somers, NY 10589 | Chiropractor | 2020-06-01 ~ 2021-05-31 |
| Paula A Sanchez | 56 Deans Bridge Road, Somers, NY 10589 | Notary Public Appointment | 2020-05-12 ~ 2025-05-31 |
| Angela M Capossela | 133d Heritage Hills Dr., Somers, NY 10589 | Perfusionist | 2020-03-01 ~ 2021-02-28 |
| Richard J Lampert | 231 Heritage Hills Drive, Somers, NY 10589 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Christina M Rosado | 18 Palma Rd., Somers, NY 10589 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10589 | |||
| City | SOMERS |
| Zip Code | 10589 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOMERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jane P Elisofon | 492 F Heritage Hills, Somers, NY 10589 | Licensed Clinical Social Worker | 2017-01-01 ~ 2017-12-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Robert Koenekoop | Westmount, QC H37 2W4 | Physician/surgeon | 2007-10-05 ~ 2008-10-31 |
| Robert A Margulies | Po Box 839, Richland, WA 99352 | Physician/surgeon | 2006-04-03 ~ 2007-05-31 |
| Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
Please comment or provide details below to improve the information on ROBERT M ELISOFON 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).