JOANNA E SAMPSON MD (Credential# 562380) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
JOANNA E SAMPSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044798. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 299 Carew Street, Springfield, MA 01104. The current status is active.
| Licensee Name | JOANNA E SAMPSON MD |
| Credential ID | 562380 |
| Credential Number | 1.044798 |
| Credential Type | Physician/Surgeon |
| Business Address |
299 Carew Street Springfield MA 01104 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-09-26 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-08-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 450783 | CSP.0040667 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-10 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 299 Carew Street |
| City | Springfield |
| State | MA |
| Zip Code | 01104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth P Koenigs | 299 Carew Street, Springfield, MA 01104 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Lawrence H Prusak | 299 Carew Street, Springfield, MA 01104 | Audiologist | 1993-11-26 ~ 1994-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karream J Warren | 11 Woodmont St., Springfield, MA 01104 | Barber | 2020-07-01 ~ 2022-06-30 |
| Gia Fenty | 22 Glenhorn St, Springfield, MA 01104 | Medication Administration Certification | 2020-06-10 ~ 2022-06-09 |
| Palmer Paving Corp | 1000 Page Blvd, Springfield, MA 01104 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jamie L Kiniry | 21 Victoria Street, Springfield, MA 01104 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| David Joel Munoz | 1116 Stockman St, Springfield, MA 01104 | Barber | ~ |
| Nicole A Flamand | 1721 Carew St, Springfield, MA 01104 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Pathy Lee | 68 Cornwall Street, Springfield, MA 01104 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| J D Rivet and Company Inc | 1635 Page Blvd., Springfield, MA 01104 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Mackinzie Williamson | 47 Notre Dame St, Springfield, MA 01104 | Emergency Medical Technician | ~ |
| Paul S Farkas | Western Mass Gastro, Springfield, MA 01104 | Physician/surgeon | 1981-03-13 ~ 2018-01-31 |
| Find all Licenses in zip 01104 | |||
| City | Springfield |
| Zip Code | 01104 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Springfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald E Sampson | 11 Briarwood Ln, Newtown, CT 06470 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert M. Knapp | 50 Amos Sampson Ln, Duxbury, MA 02332-4555 | Physician/surgeon | ~ |
| Mohamed Y Ahmed Md | 15 Sampson Terrace, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Joanna Bartholomew | 18 Donahue Lane, Manchester, CT 06042 | Physician/surgeon | ~ |
| Joanna M Cain | 119 Belmont St, Worcester, MA 01605 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Mary Joanna Mcintyre | 648 Saddlebrook Dr, Boardman, OH 44512-4781 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Joanna Dawn Pruzon | 79 Jefferson Ave, Maplewood, NJ 07040-1228 | Physician/surgeon | 2018-12-28 ~ 2019-12-31 |
| Joanna M Preibisz | 12 Brown Drive, Andover, CT 06232 | Physician/surgeon | 2001-07-18 ~ 2002-06-30 |
| Joanna E Vincent Md | 100 Gillies Road, Hamden, CT 06517 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Joanna Jacunski Conte | 40 Traveler St Apt 705, Boston, MA 02118-2986 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
Please comment or provide details below to improve the information on JOANNA E SAMPSON 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).