SAMUEL GRUBIN (Credential# 541205) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 25, 1993. The license expiration date date is January 31, 1994. The license status is INACTIVE.
SAMUEL GRUBIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014683. The credential type is physician/surgeon. The effective date is January 25, 1993. The expiration date is January 31, 1994. The business address is 274b Heritage Vill, Southbury, CT 06488. The current status is inactive.
Licensee Name | SAMUEL GRUBIN |
Credential ID | 541205 |
Credential Number | 1.014683 |
Credential Type | Physician/Surgeon |
Business Address |
274b Heritage Vill Southbury CT 06488 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1970-10-09 |
Effective Date | 1993-01-25 |
Expiration Date | 1994-01-31 |
Refresh Date | 2009-07-08 |
Street Address | 274B HERITAGE VILL |
City | SOUTHBURY |
State | CT |
Zip Code | 06488 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 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 S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Samuel D Critides | 9578 Bay Point Dr, Norfolk, VA 23518-2050 | Physician/surgeon | ~ |
Samuel D Kao | C/o H Kirk Watson, Hartford, CT 06106 | Physician/surgeon | 1994-02-23 ~ 1995-04-30 |
Samuel J Potolicchio Jr | 2601 N 3rd St, Harrisburg, PA 17110-2046 | Physician/surgeon | 1980-03-19 ~ 1981-03-31 |
Samuel Jacobs | 21 E Lake Cir, Medford, NJ 08055-3440 | Physician/surgeon | 1988-05-13 ~ 1990-12-31 |
Samuel J Beran | Suite 412, Harrison, NY 10528 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
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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).