MERTON A SMITH (Credential# 550557) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
MERTON A SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032958. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 633 Old Woodbury Road, Southbury, CT 06488. The current status is active.
Licensee Name | MERTON A SMITH |
Credential ID | 550557 |
Credential Number | 1.032958 |
Credential Type | Physician/Surgeon |
Business Address |
633 Old Woodbury Road Southbury CT 06488 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-05-14 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
162977 | CSP.0022897 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 633 Old Woodbury Road |
City | Southbury |
State | CT |
Zip Code | 06488 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Judith L Silverstein | 633 Old Woodbury Road, Southbury, CT 06606 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Jason Veronesi · Natures Way Landscapes | 633 Old Woodbury Road, Southbury, CT 06488 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
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 |
---|---|---|---|
Merton K Cade | 164 Four Mile River Road, Old Lyme, CT 06371 | Certified Public Accountant Firm Permit | 1987-01-02 ~ 1987-12-31 |
Ben Ten | 52 Smith Farm Rd, Amston, CT 06231-1241 | Physician/surgeon | 2011-09-27 ~ 2012-03-31 |
Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
Sharon R Smith | 20 Bart Dr, Canton, CT 06019 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
U G Smith | 267 Baldwin Road, Hempstead, NY 11550 | Physician/surgeon | 1994-04-18 ~ 1995-03-31 |
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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).