VICTORIA R SAMUELS MD (Credential# 565249) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.
VICTORIA R SAMUELS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047667. The credential type is physician/surgeon. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is 50 Fair Harbour Pl Ste 2a, New London, CT 06320-4732. The current status is inactive.
Licensee Name | VICTORIA R SAMUELS MD |
Credential ID | 565249 |
Credential Number | 1.047667 |
Credential Type | Physician/Surgeon |
Business Address |
50 Fair Harbour Pl Ste 2a New London CT 06320-4732 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-05-06 |
Effective Date | 2014-12-01 |
Expiration Date | 2015-11-30 |
Refresh Date | 2016-03-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
528059 | CSP.0045272 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-05-14 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 50 FAIR HARBOUR PL STE 2A |
City | NEW LONDON |
State | CT |
Zip Code | 06320-4732 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jon D Samuels Md | 21 S End Ave Ph 2i, New York, NY 10280-1071 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Sharon B Samuels | 90 Gerald Drive, Vernon, CT 06066 | Physician/surgeon | 1993-11-10 ~ 1994-10-31 |
Jesse Samuels | 25 Cascade Road, West Hartford, CT 06117 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Blossom Patricia Samuels | 148 Lorraine Avenue, Mount Vernon, NY 10553 | Physician/surgeon | 2019-10-25 ~ 2020-09-30 |
Victoria A Toins-samuels | 1109 Wooddell Dr, Jackson, MS 39212-4042 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
Ruth P Lim | 14 Beatty St, Victoria, AU 3079 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Victoria I. Pham | 59 Hastings Ln, Stamford, CT 06905-2902 | Physician/surgeon | ~ |
Hoang Viet Bui | 501 E Colorado St, Victoria, TX 77901-6025 | Physician/surgeon | ~ |
Victoria M Grossi | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Victoria Forbes | 2 Carey St, Southington, CT 06489-2916 | Physician/surgeon | 2020-06-24 ~ 2021-05-31 |
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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).