RICHARD N EISEN MD (Credential# 548114) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2015. The license expiration date date is May 31, 2016. The license status is INACTIVE.
RICHARD N EISEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029926. The credential type is physician/surgeon. The effective date is June 1, 2015. The expiration date is May 31, 2016. The business address is 24 Heritage Court, Wilton, CT 06897. The current status is inactive.
| Licensee Name | RICHARD N EISEN MD |
| Credential ID | 548114 |
| Credential Number | 1.029926 |
| Credential Type | Physician/Surgeon |
| Business Address |
24 Heritage Court Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-05-05 |
| Effective Date | 2015-06-01 |
| Expiration Date | 2016-05-31 |
| Refresh Date | 2016-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 335416 | CSP.0033403 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE | |
| 157766 | CSP.0020686 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-08-02 - 1996-08-01 | INACTIVE |
| Street Address | 24 HERITAGE COURT |
| City | WILTON |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph C Eisen | 24 Danbury Road, Wilton, CT 06897 | Certified Public Accountant Firm Permit | 1987-02-18 ~ 1987-12-31 |
| Joseph Eisen | 37 North Avenue, Norwalk, CT 06851 | Certified Public Accountant Firm Permit | 1983-01-01 ~ 1983-12-31 |
| Eisen & Leidner | 200 Connecticut Avenue, Norwalk, CT 06854-1940 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard S Childs Jr | Box 660, Norfolk, CT 06058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard A Fraser | 5 Ellis Ct, Rye, NY 10580 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Richard Lee | 163 Third Avenue, New York, NY 10003 | Physician/surgeon | 1997-05-08 ~ 1998-05-31 |
| Richard W Pooley Md | 290 W 580 S, Orem, UT 84058-6151 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
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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).