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.
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.
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 |
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 |
Street Address | 1500 WATERS PL |
City | BRONX |
State | NY |
Zip Code | 10461-2723 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jae Hong Kim | 2119 Colonial Ave., Bronx, NY 10461 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Kristy M Marmorato | 1242 Rhinelander Ave, Bronx, NY 10461 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Peter M Frisolone | 2526 Maclay Avenue, Bronx, NY 10461 | Embalmer | 2020-08-01 ~ 2021-07-31 |
Sherin Zaman | 2049 Saint Paul Ave, Bronx, NY 10461 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
Johanna Berberena | 1138 Edison Avenue, Bronx, NY 10461 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
Ellie E Martinez | 2820 Middletown Rd, Bronx, NY 10461 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
Christopher Morea | 2964 Middletown Road, Bronx, NY 10461 | Tax Preparer/facilitator Permit | 2020-03-02 ~ 2022-03-31 |
Rakesh Raju Mahali | 1150 Pelham Parkway S Apt # 3e, Bronx, NY 10461 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Yogangi Malhotra | 1400 Pelham Pkwy S, Bronx, NY 10461 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Juan Carlos Perez | 2863 Dudley Ave, Bronx, NY 10461 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10461 |
City | BRONX |
Zip Code | 10461 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRONX |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard H Greenspan Md | Yale University, New Haven, CT 06510 | Physician/surgeon | 2000-05-09 ~ 2001-04-30 |
Beverly Greenspan Md | 3 Davenport Road, West Hartford, CT 06110 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Michael D Greenspan | 30 Richard Pl, Fairfield, CT 06824 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Michael S Greenspan | 13 Rose Ln, Sandy Hook, CT 06482-1468 | Emergency Medical Technician | 2019-07-26 ~ 2022-06-30 |
Michael F Angel | 751 Mix Ave, Hamden, CT 06514-2227 | Physician/surgeon | 1982-02-10 ~ 1984-04-30 |
Michael E Perkins | 79 Doe Run, Tolland, CT 06084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Michael E Blefeld | 495 Rt. 184, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
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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).