SAM T DONTA (Credential# 544832) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 24, 1992. The license expiration date date is August 31, 1993. The license status is INACTIVE.
SAM T DONTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023956. The credential type is physician/surgeon. The effective date is September 24, 1992. The expiration date is August 31, 1993. The business address is Va Medical Center, Boston, MA 02130. The current status is inactive.
| Licensee Name | SAM T DONTA |
| Credential ID | 544832 |
| Credential Number | 1.023956 |
| Credential Type | Physician/Surgeon |
| Business Address |
Va Medical Center Boston MA 02130 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-09-22 |
| Effective Date | 1992-09-24 |
| Expiration Date | 1993-08-31 |
| Refresh Date | 2009-07-08 |
| Street Address | VA MEDICAL CENTER |
| City | BOSTON |
| State | MA |
| Zip Code | 02130 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Ann Nichols | 3611 Washington Street Unit B627, Boston, MA 02130 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Claire L Fellman | 90 Forest Hill St #3, Jamaica Plain, MA 02130 | Landscape Architect | 2019-01-30 ~ 2019-07-31 |
| Ginger Mills | 150 South Huntington Avenue, Boston, MA 02130 | Psychologist | ~ |
| Paolo Bidin | 227a Lamartine Street, Jamaica Plain, MA 02130 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joaquin Q Camara-quintana | 101 South Huntington Ave, Jamaica Plain, MA 02130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Community Servings · Pie In The Sky | 18 Marbury Terrace, Jamaica Plain, MA 02130 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Michael J Hart | 28 Grovenor Rd, Jamaica Plain, MA 02130 | Temporary Certified General Real Estate Appraiser | 2019-09-03 ~ 2020-03-03 |
| Lauren L Forni | 3611 Washington Street Unit B430, Boston, MA 02130 | Pharmacist | 2020-02-03 ~ 2022-01-31 |
| Jill Canora | 3 Edge Hill St, Boston, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shannon F Manzi | 202 Chestnut Ave, Jamaica Plain, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02130 | |||
| City | BOSTON |
| Zip Code | 02130 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donta V Johnson | 180 Elm Street, Rockhill, CT 06067 | Real Estate Salesperson | ~ |
| Donta Terry | 143 Coleman St, Bridgeport, CT 06604-3011 | Emergency Medical Responder | 2010-01-22 ~ 2012-10-01 |
| Sam T Donta Md | Va Hospital Research Bldg.5, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 1993-05-19 ~ 1995-06-01 |
| Donta D Bostic | 32 B Jeremy Hill Rd, North Stonington, CT 06359 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on SAM T DONTA.
| 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).