JASON L GREENBAUM (Credential# 561887) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JASON L GREENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044305. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 27 Sussex Pl, Stamford, CT 06905. The current status is active.
| Licensee Name | JASON L GREENBAUM |
| Credential ID | 561887 |
| Credential Number | 1.044305 |
| Credential Type | Physician/Surgeon |
| Business Address |
27 Sussex Pl Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-05-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 439623 | CSP.0039223 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-05-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 27 sussex pl |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Greenbaum | 16921 Bedford Lane, Huntington Bch, CA 92649 | Physician/surgeon | 2009-05-01 ~ 2010-04-30 |
| Mark Geoffrey Greenbaum | 25 Rose Hill Avenue, New Rochelle, NY 10804 | Physician/surgeon | 2001-02-12 ~ 2002-03-31 |
| Jonathan Greenbaum LLC · Greenlight | 53 Ivain Rd, Torrington, CT 06790-4416 | Home Improvement Contractor | 2020-01-24 ~ 2020-11-30 |
| Jason Sperling | 1 Columbia St Ste 300, Poughkeepsie, NY 12601-3924 | Physician/surgeon | ~ |
| Jason Deutsch | 285 Lafayette St, New York, NY 10012 | Physician/surgeon | ~ |
| Jason D Beck | 207 Sunset Dr, Lucedale, MS 39452-3620 | Physician/surgeon | ~ |
| Jason A Remick | 6 Ward Ave, Audubon, NJ 08106-1918 | Physician/surgeon | ~ |
| Jason C. Chen | 35 River Rd, Cos Cob, CT 06807-2759 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Jason Shapiro | 35 Leicester Way, Pawtucket, RI 02860-5609 | Physician/surgeon | ~ |
| Jason R Cataldo | 81 Hartford Ave, Old Saybrook, CT 06475-1973 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JASON L GREENBAUM.
| 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).