ROBERT W ROTTENBERG MD
Physician/surgeon


Address: 59 Main Street, Ridgefield, CT 06877

ROBERT W ROTTENBERG MD (Credential# 542260) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 1999. The license expiration date date is September 30, 2000. The license status is INACTIVE.

Business Overview

ROBERT W ROTTENBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017175. The credential type is physician/surgeon. The effective date is October 1, 1999. The expiration date is September 30, 2000. The business address is 59 Main Street, Ridgefield, CT 06877. The current status is inactive.

Basic Information

Licensee Name ROBERT W ROTTENBERG MD
Credential ID 542260
Credential Number 1.017175
Credential Type Physician/Surgeon
Business Address 59 Main Street
Ridgefield
CT 06877
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1975-04-07
Effective Date 1999-10-01
Expiration Date 2000-09-30
Refresh Date 2009-07-10

Other licenses

ID Credential Code Credential Type Issue Term Status
157776 CSP.0017747 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 59 MAIN STREET
City RIDGEFIELD
State CT
Zip Code 06877

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Graham O King 59 Main Street, Ridgefield, CT 06877 Notary Public Appointment 1988-04-01 ~ 1993-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kathleen Morrin 169 Nod Road, Ridgefield, CT 06877 Radiographer 2020-09-01 ~ 2021-08-31
Elena Yakimova 8 Lawson Lane, Ridgefield, CT 06877 Dental Hygienist 2020-07-01 ~ 2021-06-30
Jasmine Gannalo 35 Clearview Dr, Ridgefield, CT 06877 Esthetician 2020-06-26 ~ 2022-06-30
Nicole A Van Alstyne 105 Stonecrest Road, Ridgefield, CT 06877 Real Estate Salesperson ~
Andrea A Delange · Ledina 5 Copper Beech Lane, Ridgefield, CT 06877 Physical Therapist 2020-09-01 ~ 2021-08-31
Mitchell O Hubsher 77 Chestnut Hill Road, Ridgefield, CT 06877 Naturopathic Physician 2020-07-01 ~ 2021-06-30
Milillo Farms 424 R Main St, Ridgefield, CT 06877 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Marie G Donofrio 36 Woodlawn Dr, Ridgefield, CT 06877 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jennifer M Kinford 40 Woodland Way, Ridgefield, CT 06877 Esthetician ~
Lauren Elizabeth Pambianchi 49 11 Levels Road, Ridgefield, CT 06877 Registered Nurse ~
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Competitor

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City RIDGEFIELD
Zip Code 06877
License Type Physician/Surgeon
License Type + County Physician/Surgeon + RIDGEFIELD

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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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