SAMANTHA L AHLE (Credential# 1491480) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SAMANTHA L AHLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059215-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 24 Summerhill Rd, Wallingford, CT 06492-3462. The current status is active.
Licensee Name | SAMANTHA L AHLE |
Credential ID | 1491480 |
Credential Number | 1.059215-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
24 Summerhill Rd Wallingford CT 06492-3462 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-07-01 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1229836 | CSP.0057457 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 24 SUMMERHILL RD |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-3462 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William D Maggipinto | 26 Summerhill Rd, Wallingford, CT 06492-3462 | Nursing Home Administrator | 2020-01-01 ~ 2021-12-31 |
Paul Derose | 18 Summerhill Rd, Wallingford, CT 06492-3462 | Off Track Betting Facility Management | 2019-09-01 ~ 2020-08-31 |
Danielle S O'keefe | 20 Summerhill Rd, Wallingford, CT 06492-3462 | Emergency Medical Technician | 2017-07-24 ~ 2020-07-01 |
Virginia Dj Andrade | 14 Summerhill Rd, Wallingford, CT 06492-3462 | Hairdresser/cosmetician | 2014-05-01 ~ 2016-04-30 |
Joshua P O'keefe | 20 Summerhill Rd, Wallingford, CT 06492-3462 | Emergency Medical Technician | 2015-06-18 ~ 2018-07-01 |
Natasha Navarrete | 18 Summerhill Rd, Wallingford, CT 06492-3462 | Emergency Medical Technician | 2014-10-28 ~ 2017-07-01 |
Jason Prescott · Affordable Handyman Services | 14 Summerhill Rd, Wallingford, CT 06492-3462 | Home Improvement Contractor | 2009-03-10 ~ 2009-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
Find all Licenses in zip 06492 |
City | WALLINGFORD |
Zip Code | 06492 |
License Type | Resident Physician |
License Type + County | Resident Physician + WALLINGFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John M Ahle, Cpa | 120 Fire Hill Road, Ridgefield, CT 06877 | Certified Public Accountant Firm Permit | 2008-01-08 ~ 2008-12-31 |
Samantha T Morr | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
Samantha E Norden | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2018-06-30 ~ 2023-06-30 |
Samantha Jill Magier | 1050 State St Apt 339, New Haven, CT 06511-2771 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Samantha Deming-berr | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2019-05-20 ~ 2019-06-16 |
Samantha Slattery | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Samantha A Mcpeck | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
Samantha E Frank | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
Robert L Ahle | 242 Whisconier Rd, Brookfield, CT 06804-1819 | Real Estate Salesperson | ~ |
Deborah Beal Ahle | 120 Fire Hill Rd, Ridgefield, CT 06877 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
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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).