JORDAN W GREENBERG
Physician/surgeon


Address: 700 Broderick St, San Francisco, CA 94117

JORDAN W GREENBERG (Credential# 550543) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 24, 1997. The license expiration date date is May 31, 1998. The license status is INACTIVE.

Business Overview

JORDAN W GREENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032944. The credential type is physician/surgeon. The effective date is March 24, 1997. The expiration date is May 31, 1998. The business address is 700 Broderick St, San Francisco, CA 94117. The current status is inactive.

Basic Information

Licensee Name JORDAN W GREENBERG
Credential ID 550543
Credential Number 1.032944
Credential Type Physician/Surgeon
Business Address 700 Broderick St
San Francisco
CA 94117
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-05-14
Effective Date 1997-03-24
Expiration Date 1998-05-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162613 CSP.0020969 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-08-05 - 1996-09-01 INACTIVE

Office Location

Street Address 700 BRODERICK ST
City SAN FRANCISCO
State CA
Zip Code 94117

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Marcin D Marchewka 1585 Waller St, San Francisco, CA 94117 Professional Engineer 2016-02-01 ~ 2017-01-31
Nancy R Marmion 218 Cole, San Francisco, CA 94117 Land Surveyor 1992-02-14 ~ 1993-01-31
Lesley J Savin · Hellevig 231 Frederick St., San Francisco, CA 94117 Hairdresser/cosmetician 2010-09-01 ~ 2012-08-31
Teresa M Nehls 730 Ashbury St, San Francisco, CA 94117 Registered Nurse 2009-09-16 ~ 2010-10-31
Hans Rainer Baldauf 165 Egdewood Ave, San Francisco, CA 94117 Architect 2002-08-01 ~ 2003-07-31
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City SAN FRANCISCO
Zip Code 94117
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SAN FRANCISCO

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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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