STEPHEN B SIEGEL MD (Credential# 557732) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
STEPHEN B SIEGEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040149. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 1579 Straits Turnpike, Middlebury, CT 06762. The current status is inactive.
Licensee Name | STEPHEN B SIEGEL MD |
Credential ID | 557732 |
Credential Number | 1.040149 |
Credential Type | Physician/Surgeon |
Business Address |
1579 Straits Turnpike Middlebury CT 06762 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-02-13 |
Effective Date | 2018-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
304160 | CSP.0031890 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-02-27 | 2017-03-01 - 2019-02-28 | INACTIVE |
Street Address | 1579 STRAITS TURNPIKE |
City | MIDDLEBURY |
State | CT |
Zip Code | 06762 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anthony Kim | 1579 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Michael J Kaplan, Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Hasnija Hannah Huskic | 1579 Straits Turnpike, Middlebury, CT 06762 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Carla Jolene Beckham | 1579 Straits Turnpike, Middlebury, CT 06762-1835 | Controlled Substance Registration for Practitioner | 2018-09-26 ~ 2021-02-28 |
York P Moy Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kristaps Keggi | 1579 Straits Turnpike, Middlebury, CT 06762-1835 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sagar M Phatak Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kimball Paris & Gugliotti PC | 1579 Straits Turnpike, Middlebury, CT 06762 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Lenkowski Lonergan & Co LLP | 1579 Straits Turnpike, Middlebury, CT 06762-1835 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Danile P Dellaporta | 1579 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06762 |
City | MIDDLEBURY |
Zip Code | 06762 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLEBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Drew K Siegel | 205 Brighton Dr, Elon, NC 27244-8306 | Physician/surgeon | 2009-10-01 ~ 2010-09-22 |
Norman J Siegel | 43 Wellington Dr, Orange, CT 06477 | Physician/surgeon | 2006-02-06 ~ 2007-03-31 |
Lesley Siegel Md | 79 Kildeer Road, Hamden, CT 06517 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Mark D. Siegel | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Bonita H Siegel | 210 Saint James Pl, Brooklyn, NY 11238 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
S. Jonathan Siegel | 80 Shunpike Rd Unit 301, Cromwell, CT 06416-4402 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Fred S Siegel | 540 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Bernard S Siegel Md | 61 Oxbow Lane, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Sharon G Siegel | 8007 St Martins Lane, Philadelphia, PA 19118 | Physician/surgeon | ~ 1999-10-31 |
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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).