JEROME D SIEGEL MD (Credential# 548006) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
JEROME D SIEGEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029785. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 6 Colonial Drive Suite 1, Westborough, MA 01581. The current status is inactive.
| Licensee Name | JEROME D SIEGEL MD |
| Credential ID | 548006 |
| Credential Number | 1.029785 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Colonial Drive Suite 1 Westborough MA 01581 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-03-10 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158106 | CSP.0018891 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 6 Colonial Drive Suite 1 |
| City | Westborough |
| State | MA |
| Zip Code | 01581 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy R Barber | 346 Turnpike Road, Westborough, MA 01581 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Stephen R O'toole | 1900 West Park Drive, Westborough, MA 01581 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Alexander Aronson Finning & Co PC | 50 Washington Street, Westborough, MA 01581 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-03-04 |
| Ryan A Knestrick | 4 Chauncy Circle, Westborough, MA 01581 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Gail Angermann | 346 Turnpike Rod, Westborough, MA 01581 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Dana Haagensen | 12 Forbes Street, Westborough, MA 01581 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Frederick A Scarborough | 59 Piccadilly Way, Westborough, MA 01581 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jason Crespo | 31 Moses Wheelock Ln, Westborough, MA 01581 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mohini H Shinde | 94 East Main Street, Westborough, MA 01581 | Dentist | 2020-01-01 ~ 2020-12-31 |
| Arthur G Stadig | 4 Heath St, Westboro, MA 01581 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 01581 | |||
| City | Westborough |
| Zip Code | 01581 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Westborough |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norman J Siegel | 43 Wellington Dr, Orange, CT 06477 | Physician/surgeon | 2006-02-06 ~ 2007-03-31 |
| Drew K Siegel | 205 Brighton Dr, Elon, NC 27244-8306 | Physician/surgeon | 2009-10-01 ~ 2010-09-22 |
| Lesley Siegel Md | 79 Kildeer Road, Hamden, CT 06517 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Fred S Siegel | 540 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| S. Jonathan Siegel | 80 Shunpike Rd Unit 301, Cromwell, CT 06416-4402 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark D. Siegel | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Bonita H Siegel | 210 Saint James Pl, Brooklyn, NY 11238 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Bernard S Siegel Md | 61 Oxbow Lane, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sheryl E Siegel | 209 South Mill Rd, Princeton Junction, NJ 08550 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
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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).