RICHARD M SALLICK MD (Credential# 541587) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.
RICHARD M SALLICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015687. The credential type is physician/surgeon. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 10 Mott Ave Ste 2e, Norwalk, CT 06850-3320. The current status is inactive.
| Licensee Name | RICHARD M SALLICK MD |
| Credential ID | 541587 |
| Credential Number | 1.015687 |
| Credential Type | Physician/Surgeon |
| Business Address |
10 Mott Ave Ste 2e Norwalk CT 06850-3320 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1972-07-19 |
| Effective Date | 2016-10-01 |
| Expiration Date | 2017-09-30 |
| Refresh Date | 2018-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158905 | CSP.0017133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-09-20 - 2017-02-28 | INACTIVE |
| Street Address | 10 MOTT AVE STE 2E |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-3320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan R Rissolo | 10 Mott Ave, Norwalk, CT 06850-3320 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Laurence A Kirwan | 10 Mott Avenue, Stamford, CT 06850-3320 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cindy Perry | Tlc Pediatrics, Norwalk, CT 06850-3320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Selma Kaplan Dmd | 10 Mott Ave Ste 4a, Norwalk, CT 06850-3320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David E Kelly | 10 Mott Ave, Norwalk, CT 06850-3320 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| John R Sallick | 77 Long Lots, Westport, CT 06880 | Emergency Medical Technician | ~ 1998-07-01 |
| Samuel R Sallick | 71 East Ave, Norwalk, CT 06800 | Notary Public Appointment | 1967-04-01 ~ 1972-03-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard W Pooley Md | 290 W 580 S, Orem, UT 84058-6151 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Richard Elizee | 95 Worth St, New York, NY 10013 | Physician/surgeon | ~ |
| Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
| Richard W Kim Md | 333 Cedar St, New Haven, CT 06520-8039 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Richard Lee | 163 Third Avenue, New York, NY 10003 | Physician/surgeon | 1997-05-08 ~ 1998-05-31 |
| Richard M Pianti | 698 Ne 1st Ave, Miami, FL 33132 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on RICHARD M SALLICK 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).