DAVID KENIGSBERG MD (Credential# 551720) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 23, 1998. The license expiration date date is April 30, 1999. The license status is INACTIVE.
DAVID KENIGSBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034121. The credential type is physician/surgeon. The effective date is February 23, 1998. The expiration date is April 30, 1999. The business address is Griffin Hospital, Derby, CT 06418. The current status is inactive.
| Licensee Name | DAVID KENIGSBERG MD |
| Credential ID | 551720 |
| Credential Number | 1.034121 |
| Credential Type | Physician/Surgeon |
| Business Address |
Griffin Hospital Derby CT 06418 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-10-28 |
| Effective Date | 1998-02-23 |
| Expiration Date | 1999-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162236 | CSP.0022675 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-12-01 - 1998-02-28 | INACTIVE |
| Street Address | GRIFFIN HOSPITAL |
| City | DERBY |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany A Schmaling | Griffin Hospital, Derby, CT 06418 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| James R Hamblin | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sapna Raghunathan | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Nida Ashraf | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dorothea Wild Md | Griffin Hospital, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Padmini D Ranasinghe Md | Griffin Hospital, Derby, CT 06418 | Physician/surgeon | 2006-06-08 ~ 2007-05-31 |
| Ernest A Andree | Griffin Hospital, Derby, CT 06418 | Physician/surgeon | 1989-10-13 ~ 1991-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Kenigsberg | 8 Corporate Ctr Dr., Melville, NY 11747 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| David H Barad | 21 E 69th St, New York, NY 10021-4917 | Physician/surgeon | ~ |
| David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
| David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
| David M Lans | 838 Pelhamdale Ave, New Rochelle, NY 10801-1032 | Physician/surgeon | ~ |
| David M Renison | Po Box 75, Middletown, CT 06457-0075 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
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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).