ROBERT S KATZ MD
Physician/surgeon


Address: 41 Cortland Way, Newington, CT 06111

ROBERT S KATZ MD (Credential# 555575) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.

Business Overview

ROBERT S KATZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037985. The credential type is physician/surgeon. The effective date is May 24, 2002. The expiration date is May 31, 2003. The business address is 41 Cortland Way, Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name ROBERT S KATZ MD
Credential ID 555575
Credential Number 1.037985
Credential Type Physician/Surgeon
Business Address 41 Cortland Way
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-07-23
Effective Date 2002-05-24
Expiration Date 2003-05-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
221400 CSP.0028768 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-01 - 2003-02-28 INACTIVE

Office Location

Street Address 41 CORTLAND WAY
City NEWINGTON
State CT
Zip Code 06111

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Anastasya Anisimova 114 Fox Run Court, Newington, CT 06111 Registered Nurse 2020-08-01 ~ 2021-07-31
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Leeann R Johnson 17 Cinnamon Rd, Newington, CT 06111 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Isma Mian 65 Cortland Way, Newington, CT 06111 Physician/surgeon ~
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Shandea Edwards 21 Hartford Ave #14, Newington, CT 06111 Medication Administration Certification ~
Hengchao Xiong 47 Adam Dr, Newington, CT 06111 Nail Technician ~
Tuyen Le Phan 71 Lantern Hill, Newington, CT 06111 Nail Technician ~
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City NEWINGTON
Zip Code 06111
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEWINGTON

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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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