THALIA ACOSTA EISENBERG (Credential# 954014) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
THALIA ACOSTA EISENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049261. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 37 Garfield Rd, West Hartford, CT 06107-1713. The current status is active.
Licensee Name | THALIA ACOSTA EISENBERG |
Credential ID | 954014 |
Credential Number | 1.049261 |
Credential Type | Physician/Surgeon |
Business Address |
37 Garfield Rd West Hartford CT 06107-1713 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2010-10-01 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-11-04 |
Street Address | 37 Garfield Rd |
City | WEST HARTFORD |
State | CT |
Zip Code | 06107-1713 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nadia Kachwaha | 118 Brunswick Ave, West Hartford, CT 06107-1713 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06107 |
City | WEST HARTFORD |
Zip Code | 06107 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Thalia J Segal | 43 Carlisle Rd, New Rochelle, NY 10804-3832 | Physician/surgeon | ~ |
Thalia A Farazi | 504 E 63rd St Apt 35n, New York, NY 10065-7933 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
Amy B Eisenberg | 600 Mamaroneck Ave, Harrison, NY 10528-1635 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Joel H Eisenberg | Paulden, AZ 86634 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
Thalia L Mesologites | 155 Cliffmore Road, West Hartford, CT 06107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Nina Eisenberg Md | 3450 Wayne Ave, Bronx, NY 10467 | Physician/surgeon | 2002-07-08 ~ 2003-06-30 |
Harvey Eisenberg | 12 Dawn Drive, Westport, CT 06880 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
Sidney E Eisenberg | Orchard Cove, Canton, MA 02021 | Physician/surgeon | 1998-12-17 ~ 2000-01-31 |
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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).