MICHAEL B GREENSPAN MD
Physician/surgeon


Address: 1500 Waters Pl, Bronx, NY 10461-2723

MICHAEL B GREENSPAN MD (Credential# 562109) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.

Business Overview

MICHAEL B GREENSPAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044527. The credential type is physician/surgeon. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 1500 Waters Pl, Bronx, NY 10461-2723. The current status is inactive.

Basic Information

Licensee Name MICHAEL B GREENSPAN MD
Credential ID 562109
Credential Number 1.044527
Credential Type Physician/Surgeon
Business Address 1500 Waters Pl
Bronx
NY 10461-2723
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-06-27
Effective Date 2012-06-01
Expiration Date 2013-05-31
Refresh Date 2013-09-05

Other licenses

ID Credential Code Credential Type Issue Term Status
380690 CSP.0036084 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-09-17 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 1500 WATERS PL
City BRONX
State NY
Zip Code 10461-2723

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City BRONX
Zip Code 10461
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRONX

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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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