ROBIN FORMAN ROSE
Physician/surgeon


Address: 195 Danbury Rd, Wilton, CT 06897-4075

ROBIN FORMAN ROSE (Credential# 562901) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

ROBIN FORMAN ROSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045319-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 195 Danbury Rd, Wilton, CT 06897-4075. The current status is active.

Basic Information

Licensee Name ROBIN FORMAN ROSE
Credential ID 562901
Credential Number 1.045319-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 195 Danbury Rd
Wilton
CT 06897-4075
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-04-27
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-24

Other licenses

ID Credential Code Credential Type Issue Term Status
474132 CSP.0041637 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-06-20 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 195 DANBURY RD
City WILTON
State CT
Zip Code 06897-4075

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Wilton Surgery Center LLC · Wilton Surgery Center, LLC 195 Danbury Rd, Wilton, CT 06897-4075 Out-patient Surgical Facility 2019-07-01 ~ 2021-06-30
Wilton Surgery Center LLC 195 Danbury Rd, Wilton, CT 06897 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Therrien & Associates 195 Danbury Rd, Wilton, CT 06897 Certified Public Accountant Firm Permit 2020-01-01 ~ 2020-12-31
Carla J Kelly Do 195 Danbury Rd, Wilton, CT 06897-4075 Controlled Substance Registration for Practitioner 2008-05-22 ~ 2009-02-28
Siegel & Therrien, Cpa's 195 Danbury Rd, Wilton, CT 06897 Certified Public Accountant Firm Permit 2008-01-01 ~ 2008-12-31
Wilton Surgery Center LLC · Kenneth Stone Md 195 Danbury Rd, Wilton, CT 06897 Controlled Substance Registration for Practitioner 2005-06-28 ~ 2006-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Claudia B Gruss 249 Danbury Rd, Wilton, CT 06897-4075 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nicole Adara Case 14 Middlebrook Farm Rd, Wilton, CT 06897 Emergency Medical Technician ~
C B Tart 105 Seeley Road, Wilton, CT 06897 Registered Nurse 2020-08-01 ~ 2021-07-31
Matthew P Schmitt 116 Borglum Rd, Wilton, CT 06897 Home Improvement Contractor 2020-06-18 ~ 2020-11-30
Music On The Hill Inc 48 New Canaan Road, Wilton, CT 06897 Public Charity 2020-12-01 ~ 2021-11-30
Neelam Narula 11 Glen Ridge, Wilton, CT 06897 Advanced Practice Registered Nurse 2020-09-01 ~ 2021-08-31
Katherine S Lewis 43 Antler Lane, Wilton, CT 06897 Registered Nurse 2020-08-01 ~ 2021-07-31
Steven Phillips 944 Danbury Rd, Wilton, CT 06897 Physician/surgeon 2020-08-01 ~ 2021-07-31
Sally S Chao Md 48 Saint Johns Rd, Wilton, CT 06897 Physician/surgeon 2020-09-01 ~ 2021-08-31
Christine M Tenore 150 St Johns Road, Wilton, CT 06897 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Susan Lee 200 Danbury Road, Apt 5, Wilton, CT 06897 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Find all Licenses in zip 06897

Competitor

Search similar business entities

City WILTON
Zip Code 06897
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WILTON

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Improve Information

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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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