REGINA S EUM (Credential# 1219599) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
REGINA S EUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053139. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 178 Southport Woods Dr, Southport, CT 06890-1499. The current status is active.
| Licensee Name | REGINA S EUM |
| Credential ID | 1219599 |
| Credential Number | 1.053139 |
| Credential Type | Physician/Surgeon |
| Business Address |
178 Southport Woods Dr Southport CT 06890-1499 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-10 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1231137 | CSP.0057611 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 178 SOUTHPORT WOODS DR |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890-1499 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Regina E Ensenauer | Edlingerstrasse 3, Munchen, 81543 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Regina M Fitzgerald | 36 Revere Place, Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Regina J Hooley | 38 Sunset Drive, Weston, CT 06883 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Regina Gurevich | 4a Lyndale Park, Westport, CT 06880 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Regina O Hillsman | 1771 Post Rd East, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| James J Whalen | 36 Regina Drive, North Scituate, RI 02857 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Regina K Stuart | 18 Dunham Pond Road, Storrs Mansfield, CT 06268 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Regina M Palazzo Md | Nutmeg Pediatric Pulmonary Services LLC, Branford, CT 06405 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Regina Construction LLC | 12 Petticoat Ln, Broad Brook, CT 06016 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Regina Meis | 330 Cedar St, Bb 330, New Haven, CT 06511 | Resident Physician | 2016-08-03 ~ 2020-06-30 |
Please comment or provide details below to improve the information on REGINA S EUM.
| 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).