DANIEL SOUTHERN MD (Credential# 388677) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DANIEL SOUTHERN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036708. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Daniel Owen Smith Southern, M.d., Wilton, CT 06897. The current status is active.
| Licensee Name | DANIEL SOUTHERN MD |
| Credential ID | 388677 |
| Credential Number | CSP.0036708 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Daniel Owen Smith Southern, M.d. Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-11-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560427 | 1.042845 | Physician/Surgeon | 2004-09-30 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | Daniel Owen Smith Southern, M.D. |
| City | Wilton |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | Wilton |
| Zip Code | 06897 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wilton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth C Siegel | Associated Neurologists of Southern Ct, PC, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alice S Kim | Eye Center of Southern Connecticut, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Cheri C Mather Md | Southern Ct Internal Medicine, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Joel S Feigenson Md | Assoc Neurologists of Southern Ct, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anthony Quan Hong Md | Associated Neurologists of Southern, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Taras V Kucher Md | Southern Ct Vascular Center, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wei-ti Chen | Planned Parenthood At Southern New England, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Andrew Pumerantz Do | Mariner Health of Southern Conn, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| James Thomas Murphy | Eye Center of Southern Connecticut, PC, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ankush Kumar Bansal | 14611 Southern Blvd Unit 1082, Loxahatchee, FL 33470-6847 | Controlled Substance Registration for Practitioner | 2020-01-31 ~ 2021-02-28 |
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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).