DAVID HERZOG MD (Credential# 562708) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.
DAVID HERZOG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045126. The credential type is physician/surgeon. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is One Theall Road, Rye, NY 10580. The current status is inactive.
| Licensee Name | DAVID HERZOG MD |
| Credential ID | 562708 |
| Credential Number | 1.045126 |
| Credential Type | Physician/Surgeon |
| Business Address |
One Theall Road Rye NY 10580 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-02-13 |
| Effective Date | 2018-06-01 |
| Expiration Date | 2019-05-31 |
| Refresh Date | 2019-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 465054 | CSP.0041204 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-13 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | ONE THEALL ROAD |
| City | RYE |
| State | NY |
| Zip Code | 10580 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Purjeena, Inc. | 6 Mount Holly Drive, Rye, NY 10580 | Securities - Exemptions | 2020-06-17 ~ |
| Emily C Gabeler Dds | 13 Pine Lane, Rye, NY 10580 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Frederick F Grippi | 350 Theodore Fremd Avenue, Rye, NY 10580 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia B Close | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul L Shainberg | 92 Midland Ave, Rye, NY 10580 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas J Roemmelt | 1036 Boston Post Rd., Rye, NY 10580 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Teresa Whiteside | P.o. Box 155, Rye, NY 10580 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| David E Gross | 10 Martin Rd, Rye, NY 10580 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sean S Jancski | 32 Elm Place, Rye, NY 10580 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Roxana Socec | 710 A Peck Avenue, Rye, NY 10580 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Find all Licenses in zip 10580 | |||
| City | RYE |
| Zip Code | 10580 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RYE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard J Herzog | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Andrew R Herzog | P.o.box 6279, Bridgeport, CT 06606 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ronit Herzog | One Columbus Place, New York, NY 10019 | Physician/surgeon | 2020-02-03 ~ 2021-02-28 |
| Jonathan Herzog · Herzog Construction | 262 E Opal Dr, Glastonbury, CT 06033 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| James A Herzog · James Herzog Construction | 18 Woodway Rd, South Salem, NY 10590-1611 | Home Improvement Contractor | 2020-03-22 ~ 2020-11-30 |
| Herzog Rose | Hartford, CT 06106 | Liquor Brand Label | 2019-08-30 ~ 2022-08-29 |
| Kenneth Komlos · Herzog & Komlos | 119 Country Rd, Fairfield, CT 06430 | Home Improvement Contractor | ~ 1994-12-01 |
| Herzog Camouflage | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-07-12 ~ 2019-07-11 |
| Herzog Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-08-17 ~ 2021-08-15 |
| Herzog Sel Merlot | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-08-17 ~ 2021-08-15 |
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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).