JAMES SAMUEL MD (Credential# 560471) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JAMES SAMUEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042889. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Norwalk Medical Group, Norwalk, CT 06851-4647. The current status is active.
| Licensee Name | JAMES SAMUEL MD |
| Credential ID | 560471 |
| Credential Number | 1.042889 |
| Credential Type | Physician/Surgeon |
| Business Address |
Norwalk Medical Group Norwalk CT 06851-4647 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-10-26 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 407525 | CSP.0037630 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-06-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Norwalk Medical Group |
| City | Norwalk |
| State | CT |
| Zip Code | 06851-4647 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eliot J Husarsky | Norwalk Medical Group, Norwalk, CT 06851-4647 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Eliot J Husarshy Md | Norwalk Medical Group, Norwalk, CT 06851-4647 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kirk J Zachary Md | Norwalk Medical Group, Norwalk, CT 06851 | Physician/surgeon | 2008-05-07 ~ 2009-05-31 |
| Natalia D Yurkovetsky Md | Norwalk Medical Group, Norwalk, CT 06851 | Physician/surgeon | 2008-02-28 ~ 2009-03-31 |
| Md James J. Griffith | Norwalk Medical Group, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1994-11-17 ~ 1996-09-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gendai J Echezona | 40 Cross St Ste 301, Norwalk, CT 06851-4647 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeanne M Marconi | 40 Cross St Ste 321, Norwalk, CT 06851-4647 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Richard T Gervasi Md | 40 Cross St, Norwalk, CT 06851-4647 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Richard G Huntley Jr | 40 Cross St Fl 4, Norwalk, CT 06851-4647 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian J Schwender Md | Norwalk Medical Group, PC, Norwalk, CT 06851-4647 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Alison Joy Leff | 40 Cross St Fl 4, Norwalk, CT 06851-4647 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shweta Nagendra Joshi | 40 Cross St Fl 4, Norwalk, CT 06851-4647 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | Norwalk |
| Zip Code | 06851 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Norwalk |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
| Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
| Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| William Selove | 62 Samuel Dr., Whitinsville, MA 01588 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Samuel Z Westerfield | 141 E. Mulberry St, Lancaster, OH 43130 | Physician/surgeon | ~ 1997-11-30 |
| Samuel J Potolicchio Jr | 2601 N 3rd St, Harrisburg, PA 17110-2046 | Physician/surgeon | 1980-03-19 ~ 1981-03-31 |
| Samuel D Kao | C/o H Kirk Watson, Hartford, CT 06106 | Physician/surgeon | 1994-02-23 ~ 1995-04-30 |
| Samuel B Reichberg | 54 Caterson Ter, Hartsdale, NY 10530-2606 | Physician/surgeon | 1977-09-12 ~ |
| Samuel D Critides | 9578 Bay Point Dr, Norfolk, VA 23518-2050 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on JAMES SAMUEL 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).