DAVID L. SIMON MD (Credential# 540804) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
DAVID L. SIMON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013633. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 2 Ledgebrook Drive, Mansfield Center, CT 06250. The current status is active.
| Licensee Name | DAVID L. SIMON MD |
| Credential ID | 540804 |
| Credential Number | 1.013633 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Ledgebrook Drive Mansfield Center CT 06250 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1991-06-14 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162988 | CSP.0023781 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 549348 | 1.031633 | Physician/Surgeon | 1991-06-14 | 1993-07-23 - 1994-07-31 | INACTIVE |
| Street Address | 2 Ledgebrook Drive |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Erren Zhao | 386 Stafford Rd, Mansfield, CT 06250 | Nail Technician | 2020-06-11 ~ 2022-04-30 |
| Find all Licenses in zip 06250 | |||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANSFIELD CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David B Simon Md | 240 Indian River Rd Ste A5, Orange, CT 06477-3627 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| H Joseph Simon | Rt 3 Box 306, Lorena, TX 76655 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Eric D Simon · Simon and Simon Tilemasters | 425 Geraldine Dr, Coventry, CT 06238 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Simon Eiref | 29 Village Ln, Bronxville, NY 10708-4805 | Physician/surgeon | 2020-06-05 ~ 2021-04-30 |
| Leonard J Simon | 808 Bronxriver Rd, Bronxville, NY 10708 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Avrom Simon | 128 S. Aberdeen, Chicago, IL 60607 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Simon J Epstein Md | 60 Northwood Ln, Stamford, CT 06903-4333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Thomas J Simon | 129 York St, New Haven, CT 06511 | Physician/surgeon | 1985-10-17 ~ 1987-04-30 |
Please comment or provide details below to improve the information on DAVID L. SIMON MD.
| 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).