PHILIP J OVERBY MD (Credential# 562844) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PHILIP J OVERBY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045262. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 133 Pondfield Road, Bronxville, NY 10708. The current status is active.
| Licensee Name | PHILIP J OVERBY MD |
| Credential ID | 562844 |
| Credential Number | 1.045262 |
| Credential Type | Physician/Surgeon |
| Business Address |
133 Pondfield Road Bronxville NY 10708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-04-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 470185 | CSP.0041468 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-05-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 133 PONDFIELD ROAD |
| City | BRONXVILLE |
| State | NY |
| Zip Code | 10708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmelita Reyes-montinola | 801 Bronx River Rd, Bronxville, NY 10708 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hedieh Honarpisheh | 52 Howe Place, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joshua Brandfonbrener | 9 Alden Place, Bronxville, NY 10708 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ayako Takahata | 76a Oregon Ave, Bronxville, NY 10708 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Anne H Angevine Md | 14 Westway, Bronxville, NY 10708 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Stephen Ryan Meyers | 4 Valley Road, Bronxville, NY 10708 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Caroline S Beit | 11 White Plains Road, Bronxville, NY 10708 | Emergency Medical Technician | ~ |
| Anna Belman | 55 Palmer Avenue, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michele L Rohr Md | 43 Greenfield Ave, Bronxville, NY 10708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sanford C Proner | 1428 Midland Avenue, Bronxville, NY 10708 | Podiatrist | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10708 | |||
| City | BRONXVILLE |
| Zip Code | 10708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRONXVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Overby Farm | 77 E Long Lake Rd, Bloomfield Hills, MI 48304-2371 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
| Philip H Glogover | Aventura, FL 33180 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Philip T Glynn | 18 Burbank Rd, Longmeadow, MA 01006 | Physician/surgeon | 1991-01-25 ~ 1992-12-31 |
| Philip R Orlander | Univ Tx Med Sch Hst, Houston, TX 77025 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Philip A Waldor | 37 Ivy Road, Wilmington, DE 19806 | Physician/surgeon | 2003-04-07 ~ 2004-05-31 |
| Philip M Le Noach | 56 H St 9486, Maxwell Afb, AL 36112-5304 | Physician/surgeon | 1994-12-23 ~ 1995-12-31 |
| Philip E Sumner | 6 Tunxis Dr, Farmington, CT 06032-2814 | Physician/surgeon | 1998-04-13 ~ 1999-05-31 |
| Philip I Weisinger | 100 York St, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jisha Philip | 1 Horizon Dr Apt 15, Norwalk, CT 06854-2647 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
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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).