ELLEN M DEIBERT MD (Credential# 986939) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
ELLEN M DEIBERT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049735. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 210 South St, Pittsfield, MA 01201-6825. The current status is inactive.
| Licensee Name | ELLEN M DEIBERT MD |
| Credential ID | 986939 |
| Credential Number | CSP.0049735 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
210 South St Pittsfield MA 01201-6825 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-03-07 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 975482 | 1.049524 | Physician/Surgeon | 2011-02-17 | 2013-03-01 - 2014-02-28 | INACTIVE |
| Street Address | 210 SOUTH ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-6825 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia R Gardner | 289 Pomeroy Avenue, Pittsfield, MA 01201 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| E D M Services Inc | 100 West Street Ste# 210, Pittsfield, MA 01201 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Jeannine Huey | 24 Crystal St, Pittsfield, MA 01201 | Registered Nurse - Temporary | 2020-03-04 ~ 2020-07-02 |
| Dawn Shepherd | 102 Dickinson Ave, Pittsfield, MA 01201 | Registered Nurse | ~ |
| Brent M White | 8 Charisma Drive, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Seth E Bonacquisti | 20 Revilla Terr, Pittsfield, MA 01201 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Frank J Paskowski Jr | 107 Clydesdale Dr, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Roy M Andersen Jr | 22 Revere Parkway, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Harley Keisch | 197 View Dr, Pittsfield, MA 01201 | Registered Nurse | 2019-12-04 ~ 2020-10-31 |
| Robert E Post Jr | 233 Eleanor Road, Pittsfield, MA 01201 | Notary Public Appointment | 2019-10-15 ~ 2024-10-31 |
| Find all Licenses in zip 01201 | |||
| City | PITTSFIELD |
| Zip Code | 01201 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PITTSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen R Prasinos | 18 Oak Ave, Madison, CT 06443-2840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen J Robinson Md | 141 Elizabeth St., Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen J Adomelis | 1 Rowe Ave, Milford, CT 06461-3031 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen J Hoffman Md | 227 Church St Apt 5f, New Haven, CT 06510-1825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen H De Moll | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2015-09-16 ~ 2017-02-28 |
| Ellen Lindell Vmd | 14 Ridgedale Rd, Bethel, CT 06801-1218 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen Drazner Dmd | 14 Miller Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen Markstein Md | 52 Buttonball Ln, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen R Fischbein | 355 Highland Ave, Cheshire, CT 06410-2551 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen F Birchall Md | Po Box 1591, New London, CT 06320-1591 | Controlled Substance Registration for Practitioner | 1994-06-21 ~ 1996-07-01 |
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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).