NEAL E SEYMOUR (Credential# 552351) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
NEAL E SEYMOUR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034755. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is Baystate Medical Center, Springfield, MA 01199. The current status is active.
Licensee Name | NEAL E SEYMOUR |
Credential ID | 552351 |
Credential Number | 1.034755 |
Credential Type | Physician/Surgeon |
Business Address |
Baystate Medical Center Springfield MA 01199 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1995-07-28 |
Effective Date | 2019-08-01 |
Expiration Date | 2020-07-31 |
Refresh Date | 2019-07-17 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
161851 | CSP.0023516 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | Baystate Medical Center |
City | Springfield |
State | MA |
Zip Code | 01199 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katya Ford · Ivanov | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Christopher N Otis | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Kelly M Tyler | Baystate Medical Center, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Franklin Moore | Departmentt of Pathology, 759 Chestnut St, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Oren W Johnson | 758 Chestnut Street, Springfield, MA 01199 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Kimberly Ann Bucknor | 3400 B Main Street, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2020-02-03 ~ 2021-02-28 |
Kelly A Lynch | Baystate Medical Center, Dept. of Obgyn, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Orlando L Torres | 140 High Street, Springfield, MA 01199 | Physician/surgeon | 2005-11-21 ~ 2006-07-31 |
Richard M Engelman | 759 Chestnut St, Springfield, MA 01199 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
Lawrence C Peters | 759 Chestnut St, Springfield, MA 01199 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Venkatrao Medarametla | C3350; Hospital Medidine, Springfield, MA 01199-0001 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Jean M Hennebery | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Alok Kumar | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | ~ |
Find all Licenses in zip 01199 |
City | Springfield |
Zip Code | 01199 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Springfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Neal J Zimmerman | 133 Transylvania Rd, Woodbury, CT 06798 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Neal J Schamberg Md | 500 W Putnam Ave Ste 100, Greenwich, CT 06830-6079 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Neal A Fischbach Md | 111 Beach Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Ying Wang | 169 Neal St., Portland, ME 04102 | Physician/surgeon | 2004-03-08 ~ 2005-02-28 |
Neal T Reich | 20 Shaw Ln, Irvington, NY 10533-1108 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Neal K Nakra | 180 Broad Street, Stamford, CT 06901 | Physician/surgeon | 2007-03-06 ~ 2008-04-30 |
Neal F Epstein | 11 Thomas Lane, Scarsdale, NY 10583 | Physician/surgeon | 2004-08-26 ~ 2005-05-31 |
Lawrence Carlton Jr | 7 Neal Drive, Simsbury, CT 06070 | Physician/surgeon | 1998-08-28 ~ 1999-08-31 |
Wesley Neal Klein | 20 Bow Lane, Barnstable, MA 02630 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Neal S. Blank | 19700 Greenside Ter, Gaithersburg, MD 20886-1919 | Physician/surgeon | 1986-07-18 ~ 1987-12-31 |
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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).