GLENN M SIEGEL MD (Credential# 438713) 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.
GLENN M SIEGEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039184. 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 761 Main Ave Ste 201, Norwalk, CT 06851-1005. The current status is active.
| Licensee Name | GLENN M SIEGEL MD |
| Credential ID | 438713 |
| Credential Number | CSP.0039184 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
761 Main Ave Ste 201 Norwalk CT 06851-1005 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-05-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561821 | 1.044239 | Physician/Surgeon | 2006-04-04 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 761 MAIN AVE STE 201 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Powlimi N Soni | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Timothy Bookas Do | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Chawla | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Frank Sammarco Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Xiaofei Wei | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul R Kelly D.o. | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harvey L Riback Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debra H Schussheim Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vidhya Varadarajan Rukmani Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tao-nan Chi Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominick Bruni · Tavern On 7 | 611 Main Ave, Norwalk, CT 06851-1005 | Cafe Liquor | 2019-07-17 ~ 2020-11-16 |
| Route 7 Shell | 551 Main Ave, Norwalk, CT 06851-1005 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Starbucks Coffee # 9493 | 555 Main Ave, Norwalk, CT 06851-1005 | Operator of Weighing & Measuring Devices | 2015-07-02 ~ 2016-07-31 |
| Sahdev, LLC | 551 Main Ave, Norwalk, CT 06851-1005 | Retail Gasoline Dealer | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan D Siegel | 12 Swarthmore Ln, Dix Hills, NY 11746-4829 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Robert D. Siegel | 85 Retreat Ave, Hartford, CT 06106-2555 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| David A Siegel Md | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Jacob D Siegel | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth C Siegel | Associated Neurologists of Southern Ct, PC, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Nathan A Siegel | Backus Hospital, Plainfield, CT 06374 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah Siegel Md | 15 Side Hill Rd, Westport, CT 06880-2318 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lillian B. Siegel | 34 Chestnut Sq Apt 1, Jamaica Plain, MA 02130-2220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Abby Siegel Md | 3 Fawn Lane, Armonk, NY 10504 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brianna S Siegel | 292 Long Ridge Rd Ste 103, Stamford, CT 06902-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).