ERIC M KITAIN MD (Credential# 560219) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
ERIC M KITAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042637. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is Anesthesia Associates of So Ct, Norwalk, CT 06856. The current status is inactive.
Licensee Name | ERIC M KITAIN MD |
Credential ID | 560219 |
Credential Number | 1.042637 |
Credential Type | Physician/Surgeon |
Business Address |
Anesthesia Associates of So Ct Norwalk CT 06856 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2004-07-08 |
Effective Date | 2018-05-01 |
Expiration Date | 2019-04-30 |
Refresh Date | 2019-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
378877 | CSP.0035632 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-17 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | ANESTHESIA ASSOCIATES OF SO CT |
City | NORWALK |
State | CT |
Zip Code | 06856 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carla Stevenson | P.o. Box 1402, Norwalk, CT 06856 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kathleen A Lavorgna | 30 Stevens Street, Suite D, Norwalk, CT 06856 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Richard L Maiberger | Norwalk Hosp, Norwalk, CT 06856 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
David J Lomnitz | Western Ct Medical Group, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Igor E Krichevsky Md | Anesthesia Assoc of So Ct, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gabriela Ashe Hayes | 34 Maple Street, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jonathan M Fine Md | Norwalk Hospital/maple Street, Norwalk, CT 06856 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Michael Smith Md | Department 0f Anesthesia, Norwalk, CT 06856 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Leonard L Marshall | 5 Marvin St, East Norwalk, CT 06856 | Notary Public Appointment | 1988-04-01 ~ 1993-03-31 |
Carl Morales Jr | 22 Oak St P.o.b 735, South Norwalk, CT 06856 | Notary Public Appointment | 1986-05-01 ~ 1991-03-31 |
Find all Licenses in zip 06856 |
City | NORWALK |
Zip Code | 06856 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NORWALK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric M Braunstein | Stockton, CA 95204 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
Eric Weil | 76 Center St Fl 3, Waterbury, CT 06702-2129 | Physician/surgeon | ~ |
Eric J Sax | 9 Old Sudbury Rd, Lincoln, MA 01773-4807 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
Eric A Nazziola | 172 Middlesex Ave, Paramus, NJ 07652-3223 | Physician/surgeon | ~ |
Eric D Salk | 379 Lake Rd, Warren, CT 06777-1114 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Eric L Rosenberg | 15 Bay Rd, East Hampton, CT 06424-2002 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Eric A Bogner | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Eric R Wolf | 410 Blake Rd, Alpharetta, GA 30022-4416 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Eric M Bader | 16 Sands St, Waterbury, CT 06710 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Eric D Dobkin | 100 W Sproul Rd, Springfield, PA 19064-2033 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
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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).