HERMAN AUSTRIAN MD (Credential# 153917) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.
HERMAN AUSTRIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015834. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 69 Gate Ridge Rd, Fairfield, CT 06432-1170. The current status is inactive.
Licensee Name | HERMAN AUSTRIAN MD |
Credential ID | 153917 |
Credential Number | CSP.0015834 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
69 Gate Ridge Rd Fairfield CT 06432-1170 |
Business Type | INDIVIDUAL |
Status | INACTIVE - SURRENDERED |
Effective Date | 2003-03-01 |
Expiration Date | 2004-02-28 |
Refresh Date | 2004-04-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
539110 | 1.008255 | Physician/Surgeon | 1956-08-13 | 1996-05-14 - 1997-06-30 | INACTIVE |
Street Address | 69 GATE RIDGE RD |
City | FAIRFIELD |
State | CT |
Zip Code | 06432-1170 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laura Helen Sydney-pulton | 69 Gate Ridge Rd, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jean Puglia | 29 Coburn Street, Fairfield, CT 06432 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Timothy Callahan | 66 Jackman Ave, Fairfield, CT 06432 | Registered Sanitarian | 2020-05-01 ~ 2021-04-30 |
Dave J Sorgenti | 184 Church Hill Road, Fairfield, CT 06432 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Bridgeport Awning & Windowshade Inc | 145 Tunxis Hill Rd, Fairfield, CT 06432 | Home Improvement Contractor | 2020-03-02 ~ 2020-11-30 |
Aeran Kang | 92 Bibbins Avenue, Fairfield, CT 06432 | Tattoo Technician | 2020-02-20 ~ 2022-01-31 |
Gene J Lupo | 55 Lisbon Dr., Fairfield, CT 06432 | Sub-surface Sewage Installer | 2020-02-01 ~ 2021-01-31 |
Arlene H Black · Szilagyi | 97 Tuller Road, Fairfield, CT 06432 | Radiographer | 2020-04-01 ~ 2021-03-31 |
Linda M Ludwig | 81 Valley Circle, Fairfield, CT 06432 | Psychologist | 2020-04-01 ~ 2021-03-31 |
Mark Allen · Allen Construction | 35 Alvin St, Fairfield, CT 06432 | Home Improvement Contractor | 2019-12-23 ~ 2020-11-30 |
Super Duper Weenie LLC | 306 Black Rock Tpke, Fairfield, CT 06432 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
Find all Licenses in zip 06432 |
City | FAIRFIELD |
Zip Code | 06432 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Herman R Schoenwald Md | 3 Nylked Ter, Norwalk, CT 06853-1716 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Herman E Griffin | 22 Westwood Dr, Waterford, CT 06385-3824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Herman Morales Dds | 60-30 Flushing Ave, Maspeth, NY 11378 | Controlled Substance Registration for Practitioner | 2001-03-26 ~ 2002-02-28 |
Herman H H Feringa | 109 Dwight St Apt 2f, New Haven, CT 06511-4544 | Controlled Substance Registration for Practitioner | 2013-02-04 ~ 2015-02-28 |
Herman D Coleman Md | 33 Shawandassee Rd, Waterford, CT 06385-1420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stephen P Herman | 74 Beardsley Rd, New Milford, CT 06776-3956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Herman K Dolin | 15 Columbus Ave, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 1993-06-02 ~ 1995-06-01 |
Steven Herman Md | 4 Blueberry Hill Rd, Weston, CT 06883-2418 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Herman D Marggraff Jr | 386 Straits Turnpike, Watertown, CT 06795-3124 | Controlled Substance Registration for Practitioner | 1993-12-07 ~ 1996-01-01 |
Adam D Herman | 790 Orange St 2nd Floor, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).