SAMUEL WAYNE REINHARDT (Credential# 1524711) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SAMUEL WAYNE REINHARDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061389-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 1245 Chapel St Apt 305, New Haven, CT 06511-4652. The current status is active.
| Licensee Name | SAMUEL WAYNE REINHARDT |
| Credential ID | 1524711 |
| Credential Number | 1.061389-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1245 Chapel St Apt 305 New Haven CT 06511-4652 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2018450 | 1.065373 | Physician/Surgeon | 2020-05-01 | 2020-05-01 - 2021-05-31 | ACTIVE |
| 1514065 | CSP.0068090 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1245 CHAPEL ST APT 305 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-4652 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Sheldon | 1245 Chapel St Apt 227, New Haven, CT 06511-4652 | Resident Physician | 2019-06-11 ~ 2025-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel Roh | 1 Turtle Ln, Guilford, CT 06437-4356 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Samuel Sondalle | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Dias Samuel | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2017-06-22 ~ 2020-06-30 |
| Samuel Valle | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Samuel Min Choi | 5354 Case Ave Apt 921, Pleasanton, CA 94566-8037 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Samuel G Buck | 52 Queen Street, Newtown, CT 06470 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Lauren Gluck | 3450 Wayne Ave, Bronx, NY 10467-2510 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Gagandeep S Chera | 428 Marborough Dr, Fort Wayne, IN 46804-6454 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Samuel Chijioke Onyewu | 15700 Cambria Cove Blvd, Midlothian, VA 23112-5016 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Samuel Kim | Yale New Haven Hospital, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).