SAMUEL A TAYLOR (Credential# 1217302) 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.
SAMUEL A TAYLOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053196. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 15 Cobb Island Drive, Greenwich, CT 06830. The current status is active.
Licensee Name | SAMUEL A TAYLOR |
Credential ID | 1217302 |
Credential Number | 1.053196 |
Credential Type | Physician/Surgeon |
Business Address |
15 Cobb Island Drive Greenwich CT 06830 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-06-24 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-04-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1231110 | CSP.0057607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
837121 | 69.970089 | Emergency Medical Responder | 1997-01-09 | - 1998-12-31 | INACTIVE |
Street Address | 15 COBB ISLAND DRIVE |
City | GREENWICH |
State | CT |
Zip Code | 06830 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Find all Licenses in zip 06830 |
City | GREENWICH |
Zip Code | 06830 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samuel Pilnik | 155 E 72nd St, New York, NY 10021 | Physician/surgeon | 2003-10-22 ~ 2004-10-31 |
Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Samuel L Kushner | 9 Bayard Rd, Somerset, NJ 08873-7205 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
Samuel Blank | 73 Soundview Ave, Madison, CT 06443 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
Samuel P Donegan Md | 164 B Otrobando Ave, Norwich, CT 06360 | Physician/surgeon | 2003-02-03 ~ 2004-02-29 |
Samuel C Swaby | 710 Peachtree St, Atlanta, GA 30308 | Physician/surgeon | 1993-09-23 ~ 1994-06-30 |
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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).