ROBERT H NENNINGER MD (Credential# 553244) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 13, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
ROBERT H NENNINGER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035651. The credential type is physician/surgeon. The effective date is January 13, 1998. The expiration date is February 28, 1999. The business address is 46 Northfield Rd, Long Meadow, MA 01106. The current status is inactive.
Licensee Name | ROBERT H NENNINGER MD |
Credential ID | 553244 |
Credential Number | 1.035651 |
Credential Type | Physician/Surgeon |
Business Address |
46 Northfield Rd Long Meadow MA 01106 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-10-25 |
Effective Date | 1998-01-13 |
Expiration Date | 1999-02-28 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
49438 | CSP.0025033 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
Street Address | 46 NORTHFIELD RD |
City | LONG MEADOW |
State | MA |
Zip Code | 01106 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01106 |
City | LONG MEADOW |
Zip Code | 01106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LONG MEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roseanne Nenninger | 115 Randall Ave, Port Jefferson, NY 11777-1638 | Naturopathic Physician | 2020-08-01 ~ 2021-07-31 |
Steve M Nenninger | 109 Randall Ave, Port Jefferson, NY 11777 | Naturopathic Physician | 2019-12-01 ~ 2020-11-30 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
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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).