SHARMELLE E HIGHBLOOM MD (Credential# 563322) 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.
SHARMELLE E HIGHBLOOM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045740. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 37 Deer Rdg, Millwood, NY 10546-1029. The current status is active.
Licensee Name | SHARMELLE E HIGHBLOOM MD |
Credential ID | 563322 |
Credential Number | 1.045740 |
Credential Type | Physician/Surgeon |
Business Address |
37 Deer Rdg Millwood NY 10546-1029 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2007-08-07 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
479554 | CSP.0042336 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 37 DEER RDG |
City | MILLWOOD |
State | NY |
Zip Code | 10546-1029 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Virginia C Monteiro | 31 Shingle House Road, Millwood, NY 10546 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Tiffani Olenik | 226 Pinesbridge Rd., Millwood, NY 10546 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Ali Masud | 30 Fawn Ridge, Millwood, NY 10546 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
Lynn Goldberg | 75 Taconic Road, Millwood, NY 10546 | Notary Public Appointment | 2014-09-16 ~ 2019-09-30 |
Hanane Benfaida | 32 Overbrrok Dr, Millwood, NY 10546 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Karen M Schuster | 105 Inningwood Place, Millwood, NY 10546 | Notary Public Appointment | 2004-12-06 ~ 2009-12-31 |
Joseph Max Stein | 19 Baldwin Hills Road, Millwood, NY 10546 | Notary Public Appointment | 2014-05-12 ~ 2019-05-31 |
Michele Gambardella | 19 Hidden Hollow Lane, Millwood, NY 10546 | Notary Public Appointment | 2013-09-01 ~ 2018-08-31 |
Debra A Levinson | 79 Hidden Hollow Lane, Millwood, NY 10546 | Notary Public Appointment | 2016-11-07 ~ 2021-11-30 |
Hudson Canyon Homes Inc | 16 Schuman Road, Millwood, NY 10546 | Home Improvement Contractor | 2000-03-14 ~ 2000-11-30 |
Find all Licenses in zip 10546 |
City | MILLWOOD |
Zip Code | 10546 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MILLWOOD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).