JEFFREY H GOTTLIEB MD (Credential# 546908) 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.
JEFFREY H GOTTLIEB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028008. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 19 Hampton Ct, South Glastonbury, CT 06073-2444. The current status is active.
| Licensee Name | JEFFREY H GOTTLIEB MD |
| Credential ID | 546908 |
| Credential Number | 1.028008 |
| Credential Type | Physician/Surgeon |
| Business Address |
19 Hampton Ct South Glastonbury CT 06073-2444 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-04-10 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154516 | CSP.0015049 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 19 HAMPTON CT |
| City | SOUTH GLASTONBURY |
| State | CT |
| Zip Code | 06073-2444 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Regina P Gottlieb | 19 Hampton Ct, South Glastonbury, CT 06073 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lauren Gottlieb | 19 Hampton Ct, South Glastonbury, CT 06073-2444 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juanita S Taub | 35 Hampton Ct, South Glastonbury, CT 06073-2444 | Wholesaler Salesman | 2010-03-15 ~ 2013-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Belltown Hill Orchards LLC | 483 Matson Hill Rd, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Catherine L Cuva | 65 Backland Rd, South Glastonbury, CT 06073 | Speech and Language Pathologist | ~ |
| Nitu M Kashyap Md | 199 Old Maids Lane, South Glastonbury, CT 06073 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| L V Fuel Company LLC | 891 Main St, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Daniel W Babella | 55 Hopewell Heights, South Glastonbury, CT 06073 | Water Treatment Plant Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Anne T Rolfe | 8 High Ridge Road, Glastonbury, CT 06073 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Audrey C Mcfarlane-nelson · Mcfarlane | 81 Glastonbury Hunt Lane, S. Glastonbury, CT 06073 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alan J Dumaine | 391 Tryon Street, South Glastonbury, CT 06073 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Lottie's Country Kitchen · Carol Mulazzi Dba | 2187 New London Tnpk, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dondero Orchards LLC | 529 Woodland St, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06073 | |||
| City | SOUTH GLASTONBURY |
| Zip Code | 06073 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTH GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard M Gottlieb | Po Box 718, Sharon, CT 06069-0718 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Felix I Gottlieb Md | 144 Downs Rd, Bethany, CT 06524-3611 | Physician/surgeon | 1998-04-16 ~ 1999-06-30 |
| John F Gottlieb | 153 Cold Spring St, New Haven, CT 06511-2241 | Physician/surgeon | ~ 1989-05-31 |
| Marvin B Gottlieb | 235 Towpath Lane, Cheshire, CT 06410 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Alice B Gottlieb | 51 Twin Lakes Rd, South Salem, NY 10590 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Geoffrey J Gottlieb | 30 Lake Mansfield Rd, Great Barrington, MA 01230-1019 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Bruce S Gottlieb | 129 Phipps Drive, West Haven, CT 06516 | Physician/surgeon | 2001-01-09 ~ 2001-12-31 |
| Stuart Gottlieb | 2800 Island Blvd, Aventura, FL 33160 | Physician/surgeon | 2007-08-06 ~ 2008-09-30 |
| Jonathan E Gottlieb | Norwalk Hospital, Norwalk, CT 06856 | Physician/surgeon | 1984-07-02 ~ 1986-05-31 |
| J S Gottlieb Pe Cns Eng | Professional Engineer | 1990-01-25 ~ 1991-01-31 |
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| 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).