ROBERT P PITSENBARGER (Credential# 551450) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 10, 1997. The license expiration date date is July 31, 1998. The license status is INACTIVE.
ROBERT P PITSENBARGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033851. The credential type is physician/surgeon. The effective date is June 10, 1997. The expiration date is July 31, 1998. The business address is 4816 Peace Way, Portsmouth, VA 23703-3618. The current status is inactive.
Licensee Name | ROBERT P PITSENBARGER |
Credential ID | 551450 |
Credential Number | 1.033851 |
Credential Type | Physician/Surgeon |
Business Address |
4816 Peace Way Portsmouth VA 23703-3618 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-07-01 |
Effective Date | 1997-06-10 |
Expiration Date | 1998-07-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
164513 | CSP.0022302 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
Street Address | 4816 PEACE WAY |
City | PORTSMOUTH |
State | VA |
Zip Code | 23703-3618 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jaketia L Taylor | 4 Cance Court, Portsmouth, VA 23703 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Marlene Demaio | 2509 Stering Point Drive, Portsmouth, VA 23703 | Physician/surgeon | 2014-01-01 ~ 2014-12-31 |
Cynthia Whiting | 3648 Hosiers Oaks Dr, Portsmouth, VA 23703 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
Catherine E Riley-godoy | 9 Admiral Ct, Portsmouth, VA 23703 | Registered Nurse | 2007-04-13 ~ 2008-03-31 |
Laurie Leclair | 6729 Kenny Lane, Portsmouth, VA 23703 | Hairdresser/cosmetician | 1995-03-20 ~ 1995-12-31 |
Wesley S Fletcher | 4401 Southampton Arch, Portsmouth, VA 23703-1521 | Plumbing & Piping Unlimited Contractor | 2018-11-01 ~ 2019-10-31 |
Thomas A Sanborn | 5852 Trotman Cir, Portsmouth, VA 23703-1527 | Engineer-in-training | 2006-05-09 ~ 2016-05-09 |
Tyra Stevens | 4025 Cedar Ln Apt F, Portsmouth, VA 23703-2044 | Registered Nurse | 2018-02-14 ~ 2018-06-30 |
Jason F Lassiter | 4816 Orleans Dr, Portsmouth, VA 23703-2112 | Engineer-in-training | ~ |
Tyler M Otabara | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | Engineer-in-training | 2012-10-16 ~ 2022-10-16 |
Find all Licenses in zip 23703 |
City | PORTSMOUTH |
Zip Code | 23703 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PORTSMOUTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Michael K. Pitsenbarger | 725 Marion Pike, Coal Grove, OH 45638 | Crane Operator Apprentice | 2006-05-19 ~ 2008-05-18 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Robert P Conlen | Po Box 447, Farmington, CT 06034-0447 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
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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).