SAMANTHA M JANSSON MD (Credential# 553803) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
SAMANTHA M JANSSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036211. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 200 East 66th Street, Ny, NY 10065. The current status is active.
| Licensee Name | SAMANTHA M JANSSON MD |
| Credential ID | 553803 |
| Credential Number | 1.036211 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 East 66th Street Ny NY 10065 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-07-18 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2019-03-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 484378 | CSP.0042689 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-05 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 200 East 66th Street |
| City | NY |
| State | NY |
| Zip Code | 10065 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erik Jonathan Blutinger | 166 E 63rd St, New York, NY 10065 | Physician/surgeon | ~ |
| Crestview Partners Iv, Lp | 590 Madison Avenue, New York, NY 10065 | Securities - Exemptions | 2020-06-17 ~ |
| Abigail L Peck | 406 E 63rd Street, New York, NY 10065 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cevat A Ozan | 26 East 64th Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
| John E Berson | 245 East 63rd Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
| Naomi Alper | 1161 York Avenue, New York, NY 10065 | Licensed Clinical Social Worker | ~ |
| Redbird Series 2019, Lp | 667 Madison Ave, Fl 16, New York, NY 10065 | Securities - Exemptions | 2020-06-01 ~ |
| Andrew C Shih Md | 200 E 62nd St Apt 9b, New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Inga Katharina Mewes Blom | 210 E64th St., New York, NY 10065 | Psychologist | ~ |
| Flavio Gaudio | 525 E. 68th St., New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10065 | |||
| City | NY |
| Zip Code | 10065 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha G Shankar | 123 Forest Ave, New Rochelle, NY 10804-4228 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samantha D'annunzio | 36 Stonewall Cir, West Harrison, NY 10604-1117 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samantha Joan Palmaccio | 51 Schuyler Ave, Stamford, CT 06902 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Samantha G S Smith | 441 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Samantha A Rai | 658 Grant Road, North Salem, NY 10560 | Physician/surgeon | 2002-09-09 ~ 2003-09-30 |
| Samantha A Franco | 7 Watch Hill Way, South Kingstown, RI 02879 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samantha Douglas Baer | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Catherine Jansson | 22 Seabury Ave, Ledyard, CT 06339 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| E Robert Jansson | 27 Walnut Dr, Marlborough, CT 06447 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
Please comment or provide details below to improve the information on SAMANTHA M JANSSON MD.
| 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).