SAMANTHA DOUGLAS BAER (Credential# 1988450) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SAMANTHA DOUGLAS BAER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065244. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 78 Olive Street, New Haven, CT 06511. The current status is active.
| Licensee Name | SAMANTHA DOUGLAS BAER |
| Credential ID | 1988450 |
| Credential Number | 1.065244 |
| Credential Type | Physician/Surgeon |
| Business Address |
78 Olive Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2011297 | CSP.0073225 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-15 | 2020-04-15 - 2021-02-28 | ACTIVE |
| Street Address | 78 Olive Street |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel T Carnein | 78 Olive Street, New Haven, CT 06511 | Engineer-in-training | 2019-05-09 ~ 2029-05-09 |
| Colman Timothy Dobb | 78 Olive Street, New Haven, CT 06511 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jadry Gruen | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2020-02-26 ~ 2021-02-28 |
| Kapiolani A Laronal | 78 Olive Street, New Haven, CT 06511 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Syed S Akhtar | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Andrea Blake | 78 Olive Street, New Haven, CT 06511 | Registered Nurse | 2004-10-14 ~ 2005-10-31 |
| Daniel A Chidpungtam | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2003-10-15 ~ 2004-10-31 |
| Anthony R Chella | 78 Olive Street, New Haven, CT 06510 | Real Estate Salesperson | ~ |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Baer M Ackerman | 1700 Alma Drive #480, Plano, TX 75075 | Physician/surgeon | 1996-03-27 ~ 1997-04-30 |
| Samantha A Baer | 319 Abbe Road, Enfield, CT 06082 | Advanced Emergency Medical Technician | 2000-03-15 ~ 2001-10-01 |
| Raymond A Baer | The Stamford Hsp., Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Pearl J Baer | 4 Baer Trail, Westport, CT 06880 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Samantha G Shankar | 123 Forest Ave, New Rochelle, NY 10804-4228 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Samantha A Rai | 658 Grant Road, North Salem, NY 10560 | Physician/surgeon | 2002-09-09 ~ 2003-09-30 |
| Samantha M Jansson Md | 200 East 66th Street, Ny, NY 10065 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Samantha Joan Palmaccio | 51 Schuyler Ave, Stamford, CT 06902 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Samantha G S Smith | 441 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on SAMANTHA DOUGLAS BAER.
| 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).