ROBERT MICHAEL DETTMER MD (Credential# 556099) 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.
ROBERT MICHAEL DETTMER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038509. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 52 Sea Beach Drive, Stamford, CT 06902. The current status is active.
| Licensee Name | ROBERT MICHAEL DETTMER MD |
| Credential ID | 556099 |
| Credential Number | 1.038509 |
| Credential Type | Physician/Surgeon |
| Business Address |
52 Sea Beach Drive Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-03-24 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 228898 | CSP.0029175 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-01-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 52 SEA BEACH DRIVE |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen S Dettmer Md | 20 Felicity Ln, Torrington, CT 06790-6101 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert Michael Doody | 350 Barrack Hill Rd, Ridgefield, CT 06877-3031 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Michael Robert Littner | 10736 Des Moines Ave, Northridge, CA 91326-2930 | Physician/surgeon | 1974-08-16 ~ 1980-12-31 |
| Michael Robert Hausman | 333 Cedar Street (orth. Surg), New Haven, CT 06510 | Physician/surgeon | 1981-07-01 ~ 1984-04-30 |
| Robert Michael Koch | 4 Westchester Park Drive, White Plains, NY 10604 | Physician/surgeon | 2020-01-24 ~ 2020-12-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Thomas A Dettmer Od | 11 Pelican Dr, Groton, CT 06340 | Optometrist | 1998-10-26 ~ 1999-10-31 |
| Jaimee Benes-dettmer Md | 52 Seabeach Drive, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
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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).