SAMUEL L BRIDGERS II (Credential# 544650) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
SAMUEL L BRIDGERS II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023624. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 39 Enoch Drive, Woodbridge, CT 06525. The current status is active.
| Licensee Name | SAMUEL L BRIDGERS II |
| Credential ID | 544650 |
| Credential Number | 1.023624 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Enoch Drive Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1982-06-15 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160177 | CSP.0019425 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 39 Enoch Drive |
| City | Woodbridge |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | Woodbridge |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Woodbridge |
| 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 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 B Reichberg | 54 Caterson Ter, Hartsdale, NY 10530-2606 | Physician/surgeon | 1977-09-12 ~ |
| Samuel Sostre | 98 Tremont St., Ansonia, CT 06401 | Physician/surgeon | 2008-11-12 ~ 2009-10-31 |
| Samuel Blank | 73 Soundview Ave, Madison, CT 06443 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
| William Selove | 62 Samuel Dr., Whitinsville, MA 01588 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Samuel A Kocoshis | 206 Goffe Ter, New Haven, CT 06511-7113 | Physician/surgeon | 1976-10-01 ~ 1980-05-31 |
| Samuel B Rentsch | 242 Hubbard St, Glastonbury, CT 06033 | Physician/surgeon | 1994-08-16 ~ 1995-08-31 |
Please comment or provide details below to improve the information on SAMUEL L BRIDGERS II.
| 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).