JUSTIN B LUNDBYE MD (Credential# 560764) 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.
JUSTIN B LUNDBYE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043182. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 64 Robbins Street, Waterbury, CT 06708. The current status is active.
| Licensee Name | JUSTIN B LUNDBYE MD |
| Credential ID | 560764 |
| Credential Number | 1.043182 |
| Credential Type | Physician/Surgeon |
| Business Address |
64 Robbins Street Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-03-08 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 388780 | CSP.0036714 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 64 Robbins Street |
| City | Waterbury |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Priyanka J Shetty | 64 Robbins Street, Waterbury, CT 06478 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Alexandra J Sanowski-bell | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2016-06-28 ~ 2022-06-27 |
| Sepehr Karimi | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2017-06-26 ~ 2022-06-27 |
| Daniel R Slack | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2016-06-28 ~ 2021-06-27 |
| Robert M. Kimmel Jr. | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2016-06-28 ~ 2021-06-27 |
| Remy A Sirken | 64 Robbins Street, Waterbury, CT 06708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Shihab Masrur | 64 Robbins Street, Waterbury, CT 06708 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Dahlia Am Thorpe | 64 Robbins Street, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Danise M Schiliro | 64 Robbins Street, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacque D Ciarlo | 64 Robbins Street, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | Waterbury |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin J De Grado | Psc 475 Box 1812, Fpo, 96350 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Justin Cashman | 821 Chesapeake Ave, Annapolis, MD 21403-3249 | Physician/surgeon | 2014-08-15 ~ 2015-07-31 |
| Justin Marshall | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Justin J Finch | 1 Willowbrook Rd, Cromwell, CT 06416-1745 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Justin G Ford | 210 19th Ave A, Seattle, WA 98122 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Justin Lee | 1100 Stark Drive, Mt Vernon, IL 62864 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Justin C Cahill Md | 267 Grant Street, Bridgeport, CT 06610 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Justin Harold | 8025 W Lorraine Pl, Milwaukee, WI 53222-4933 | Physician/surgeon | 2020-03-04 ~ 2021-03-31 |
| Justin V Samuel | 38 Canter Court, Ancaster, ON L9K 1K7 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Justin C Paul | 2 Riverview Drive, Danbury, CT 06851 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).