PRUDENCIO G SAMSON MD (Credential# 551808) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
PRUDENCIO G SAMSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034209. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 270 Farmington Avenue, Farmington, CT 06032. The current status is active.
| Licensee Name | PRUDENCIO G SAMSON MD |
| Credential ID | 551808 |
| Credential Number | 1.034209 |
| Credential Type | Physician/Surgeon |
| Business Address |
270 Farmington Avenue Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-12-16 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 451475 | CSP.0040695 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-02 | 2008-03-01 - 2009-02-28 | INACTIVE |
| 163892 | CSP.0023108 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
| Street Address | 270 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Tobin | 270 Farmington Avenue, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James B Davis | 270 Farmington Avenue, Farmington, CT 06032 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mariann Clemenza Dds | 270 Farmington Avenue, Farmington, CT 06032 | Dentist | 2012-04-01 ~ 2013-03-31 |
| William Mcdougall · Murphy & Scarletti | 270 Farmington Avenue, Farmington, CT 06032 | Restaurant Liquor | 2001-07-02 ~ 2002-07-01 |
| Department of Mental Retardation North Central Region | 270 Farmington Avenue, Farmington, CT 06032 | Public Charity-exempt From Financial Requirements | ~ |
| American Catholic Publishing Company | 270 Farmington Avenue, Farmington, CT 06032 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald W Samson | 46 Shore Rd, Niantic, CT 06357-3505 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Samson K Orusa | 2025 Old Russellvill, Clarksville, TN 37043 | Physician/surgeon | ~ 1997-03-31 |
| Samson Marketing | 2575 Penny Rd, High Point, NC 27265-8334 | Importer of Bedding & Upholstered Furniture | 2011-05-01 ~ 2012-04-30 |
| Ig Samson Enterprises LLC · Handyman Connection | 390 Main St, Manchester, CT 06040 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Samson Services LLC | 106 Valley Dr, Berlin, CT 06037 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Brianna P. Samson | 6 Eastmount Dr., Slingerlands, NY 12159 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Lacquercraft Mfg Co Ltd Samson IInternational Ltd | Jiashan County Jiaxing City, Zhejiang, 314100 | Manufacturer of Bedding & Upholstered Furniture | 2014-05-01 ~ 2015-04-30 |
| Samson Premium | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-12-12 ~ 2010-12-11 |
| Prudencio Ortiz IIi | 41 Prospect St Apt 304, Waterbury, CT 06702-1335 | Asbestos Abatement Worker | 2013-06-18 ~ 2013-10-31 |
| Prudencio Olmos | 52 E Main St, Stafford Springs, CT 06076-1228 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
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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).