SAMUEL W STREIT DO (Credential# 538058) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SAMUEL W STREIT DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000322-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 110 Commerce Drive, Shelton, CT 06484. The current status is active.
| Licensee Name | SAMUEL W STREIT DO |
| Credential ID | 538058 |
| Credential Number | 1.000322-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
110 Commerce Drive Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-07-11 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160379 | CSP.0019454 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 110 Commerce Drive |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank P Swanson Md | 110 Commerce Drive, Shelton, CT 06484 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elliot Mathias Md | 110 Commerce Drive, Shelton, CT 06484 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kenneth A Ward Md | 110 Commerce Drive, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Haag-streit Usa, Inc. | 3535 Kings Mill Rd, Mason, OH 45040 | Manufacturer of Bedding & Upholstered Furniture | 2019-05-01 ~ 2020-04-30 |
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
| Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
| Samuel P Oh | 25 Deerfield Dr, East Greenwich, RI 02818 | Physician/surgeon | 1993-09-23 ~ 1994-08-31 |
| Samuel C Swaby | 710 Peachtree St, Atlanta, GA 30308 | Physician/surgeon | 1993-09-23 ~ 1994-06-30 |
| Samuel J Potolicchio Jr | 2601 N 3rd St, Harrisburg, PA 17110-2046 | Physician/surgeon | 1980-03-19 ~ 1981-03-31 |
| Samuel A Kocoshis | 206 Goffe Ter, New Haven, CT 06511-7113 | Physician/surgeon | 1976-10-01 ~ 1980-05-31 |
| Samuel Z Westerfield | 141 E. Mulberry St, Lancaster, OH 43130 | Physician/surgeon | ~ 1997-11-30 |
Please comment or provide details below to improve the information on SAMUEL W STREIT DO.
| 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).