SAMANTHA L AHLE
Resident Physician


Address: 24 Summerhill Rd, Wallingford, CT 06492-3462

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 24 SUMMERHILL RD
City WALLINGFORD
State CT
Zip Code 06492-3462

Licenses in the same zip code

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

Licenses in the same zip code

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

Competitor

Search similar business entities

City WALLINGFORD
Zip Code 06492
License Type Resident Physician
License Type + County Resident Physician + WALLINGFORD

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Samantha Slattery 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
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Samantha E Frank 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2018-07-01 ~ 2023-06-30
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Dataset Information

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).

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