SAMUEL P DONEGAN MD
Physician/surgeon


Address: 164 B Otrobando Ave, Norwich, CT 06360

SAMUEL P DONEGAN MD (Credential# 557103) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 3, 2003. The license expiration date date is February 29, 2004. The license status is INACTIVE.

Business Overview

SAMUEL P DONEGAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039519. The credential type is physician/surgeon. The effective date is February 3, 2003. The expiration date is February 29, 2004. The business address is 164 B Otrobando Ave, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name SAMUEL P DONEGAN MD
Credential ID 557103
Credential Number 1.039519
Credential Type Physician/Surgeon
Business Address 164 B Otrobando Ave
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-05-11
Effective Date 2003-02-03
Expiration Date 2004-02-29
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
281276 CSP.0030985 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 164 B OTROBANDO AVE
City NORWICH
State CT
Zip Code 06360

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Caylee Elizabeth Liebig 10 Bozrah Drive, Norwich, CT 06360 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City NORWICH
Zip Code 06360
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NORWICH

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Stacey M Donegan Md 14 Woodland Rd, New City, NY 10956-2626 Physician/surgeon 2020-03-01 ~ 2021-02-28
Samuel Song 1150 North Indian Canyon Drive, Palm Springs, CA 92262 Physician/surgeon 2020-06-01 ~ 2021-05-31
John S Donegan · John Donegan Construction 10 Lancaster Road, Coventry, CT 06238 Home Improvement Contractor 2000-12-20 ~ 2001-11-30
Michael V Donegan · Donegan Builders 123 Beachland Ave, Milford, CT 06460-7487 Emergency Medical Technician 2019-07-01 ~ 2022-06-30
Donegan and Co Professional Engineer 1993-12-27 ~ 1995-01-31
Samuel A Adesoba P.o. Box 876, New York, NY 10037 Physician/surgeon ~ 1997-10-31
Samuel S Fam Po Box 31294, Clarksville, TN 37040-0022 Physician/surgeon 2020-06-01 ~ 2021-05-31
Samuel Bergman Po Box 516, Durham, CT 06422-0516 Physician/surgeon 1982-06-22 ~ 1984-04-30
Samuel Sostre 98 Tremont St., Ansonia, CT 06401 Physician/surgeon 2008-11-12 ~ 2009-10-31
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Dataset Information

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).

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