GLENN D SCIBILIA (Credential# 552350) 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.
GLENN D SCIBILIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034754. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 375 East Main Street, Suite 24, Bay Shore, NY 11706. The current status is active.
| Licensee Name | GLENN D SCIBILIA |
| Credential ID | 552350 |
| Credential Number | 1.034754 |
| Credential Type | Physician/Surgeon |
| Business Address |
375 East Main Street, Suite 24 Bay Shore NY 11706 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-07-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162056 | CSP.0023560 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
| Street Address | 375 East Main Street, Suite 24 |
| City | Bay Shore |
| State | NY |
| Zip Code | 11706 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ruby Thomas | 1682 Pine Acres Blvd, Bayshore, NY 11706 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| Louis G Schwartz | 7 Ridgewood St, Bay Shore, NY 11706 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Heather Nicole Martin | 345 Atlantic Ave, Bay Shore, NY 11706 | Registered Nurse | 2018-11-15 ~ 2019-08-31 |
| Joseph Marino | 2 Pinebrook Place, Bay Shore, NY 11706 | Notary Public Appointment | 2001-08-23 ~ 2006-08-31 |
| Christopher J Delisle | 47 Community Road, Bayshore, NY 11706 | Notary Public Appointment | 2006-07-01 ~ 2011-06-30 |
| Eddie Santiago | 711 Justine Court, Bayshore, NY 11706 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| John Dundon | 1141 Nugent Avenue, Bay Shore, NY 11706 | Advanced Emergency Medical Technician | ~ |
| Emilie L Bui | 117 Cleveland Street, Bay Shore, NY 11706 | Pharmacy Intern | 2016-05-16 ~ 2018-09-30 |
| Jay E Tuller · Rosenbaum Design Group | 18 Mystic Circle, Bay Shore, NY 11706 | Architect | 2019-08-01 ~ 2020-07-31 |
| David D Busch | 90 West Main Street, Bay Shore, NY 11706 | Architect | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 11706 | |||
| City | Bay Shore |
| Zip Code | 11706 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bay Shore |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Glenn J. Freeman Md | P.o. Box 339, Englewood, FL 34295-0339 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Glenn C Griffiths | 11 Merritt Dr., Paquoson, VA 23662 | Physician/surgeon | 1988-05-06 ~ 1994-11-30 |
| Glenn H Boyar | 670 Stoneleigh Ave, Carmel, NY 10512 | Physician/surgeon | 2008-04-02 ~ 2009-06-30 |
| Glenn D Pomerantz | 21 Livingston Rd, Sharon, MA 02067-2711 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Glenn W Sandberg Jr | Po Box 2370, Dillon, CO 80435 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Glenn Flores | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Glenn M. Flanagan | 210 W Division St, Syracuse, NY 13204-1566 | Physician/surgeon | 2014-02-01 ~ 2015-01-31 |
| Glenn A Meltzer | 33 Lincoln St, Worcester, MA 01605 | Physician/surgeon | 1998-05-11 ~ 1999-05-31 |
| Glenn H Segal | 46 Sullivan Rd, New Milford, CT 06776 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Glenn Leonard Alexander | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).