JERRY L GREENBURG (Credential# 542699) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JERRY L GREENBURG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018166. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 456 Water St, Celebration, FL 34747-4977. The current status is active.
| Licensee Name | JERRY L GREENBURG |
| Credential ID | 542699 |
| Credential Number | 1.018166 |
| Credential Type | Physician/Surgeon |
| Business Address |
456 Water St Celebration FL 34747-4977 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1976-08-23 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-05-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153662 | CSP.0005392 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 456 WATER ST |
| City | CELEBRATION |
| State | FL |
| Zip Code | 34747-4977 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane E Vatian | P O Box 470216, Celebration, FL 34747 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Globalaccess Exchange LLC | 8505 W. Irlo Bronson Memorial Hwy, Kissimmee, FL 34747 | Exchange Company Filing | 2020-06-01 ~ 2021-05-31 |
| Theresa St Peter | 1236 Celebration Avenue, Celebration, FL 34747 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Kenneth R Bereski | 7862 W Irlo Bronson Hwy Suite 172, Kissimmee, FL 34747 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Kathy Bornn | 2224 Antilles Club Drive, Kissimmee, FL 34747 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Jeff R Ryan | 519 Water St, Celebration, FL 34747 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mauree Rhame | 1400 Celebration Ave # 308, Celebration, FL 34747 | Registered Nurse | 2019-12-10 ~ 2020-07-31 |
| Mary Christine Decker | 8407 Meer Way, Kissimmee, FL 34747 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Disney's Polynesian Villas & Bungalows | 1390 Celebration Blvd, Celebration, FL 34747 | Timeshare Registration | 2020-01-01 ~ 2021-12-31 |
| Disney Vac Club At Hilton Head Isld | Disney Vacation Develoment Inc, Celebration, FL 34747 | Timeshare Registration | 2020-01-01 ~ 2021-12-31 |
| Find all Licenses in zip 34747 | |||
| City | CELEBRATION |
| Zip Code | 34747 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CELEBRATION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerry Harwood Md | 51 Forest Ave No. 105, Old Greenwich, CT 06870 | Physician/surgeon | 1998-06-29 ~ 1999-06-30 |
| Jerry Goldfarb Md | 30 Brodwood Drive, Stamford, CT 06902 | Physician/surgeon | 1999-08-26 ~ 2000-08-31 |
| Jerry Sheen | 510-3d Auten Road, Hillsborough, NJ 08844 | Physician/surgeon | 2004-12-13 ~ 2005-03-31 |
| Jerry J Thomas | 1065 Us Highway 22 Ste 3d, Bridgewater, NJ 08807-2949 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Jerry J Jaboin Md | 24 Ladue Mnr, Saint Louis, MO 63124-1821 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
| Jerry D Ballard | 165 Jeffrey Lane, Springfield, MA 01089 | Physician/surgeon | 1995-06-12 ~ 1996-07-31 |
| H Paul Winalski Md | 186 Jerry Browne Road, Mystic, CT 06355 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| James N Worcester | 186 Jerry Browne Road, Mystic, CT 06355 | Physician/surgeon | 2006-09-05 ~ 2007-07-31 |
| Ann-jerry Peters | 4996 Taylor Way, El Dorado Hills, CA 95762-7531 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Maria L Webster | 6112 Jerry's Drive, Columbia, MD 21044 | Physician/surgeon | 2003-11-17 ~ 2004-11-30 |
Please comment or provide details below to improve the information on JERRY L GREENBURG.
| 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).