VICTORIA R SAMUELS MD
Physician/surgeon


Address: 50 Fair Harbour Pl Ste 2a, New London, CT 06320-4732

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 50 FAIR HARBOUR PL STE 2A
City NEW LONDON
State CT
Zip Code 06320-4732

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Competitor

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City NEW LONDON
Zip Code 06320
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW LONDON

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Sharon B Samuels 90 Gerald Drive, Vernon, CT 06066 Physician/surgeon 1993-11-10 ~ 1994-10-31
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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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