SAMIR G. CHAUDHARI MD (Credential# 984139) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
SAMIR G. CHAUDHARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049576. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 375 Emerson Plz Unit 1212, Altamonte Springs, FL 32701-3479. The current status is active.
| Licensee Name | SAMIR G. CHAUDHARI MD |
| Credential ID | 984139 |
| Credential Number | 1.049576 |
| Credential Type | Physician/Surgeon |
| Business Address |
375 Emerson Plz Unit 1212 Altamonte Springs FL 32701-3479 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-03-08 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1002591 | CSP.0050481 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-06-21 | 2011-06-21 - 2013-02-28 | INACTIVE |
| Street Address | 375 EMERSON PLZ UNIT 1212 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-3479 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Elvira Mayorga | 312 Blue Violet Way, Altamonte Springs, FL 32701 | Licensed Practical Nurse | ~ |
| Florida Home Medical Supply Inc · Colonial Medical Supplies | 614 E. Altamonte Dr, Altamonte Springs, FL 32701 | Secondhand Dealer of Bedding & Upholstered Furniture | 2020-06-08 ~ 2021-04-30 |
| Nicholas J Alteri | 306 Barclay Ave, Altamonte Springs, FL 32701 | Professional Engineer | 2018-04-24 ~ 2019-01-31 |
| Bette R Light | 3 Escondido Circle, Unit #7, Altamonte Springs, FL 32701 | Registered Nurse | 2009-10-01 ~ 2010-09-30 |
| Kathy I Lord | 223 Heron Street, Altamonte Springs, FL 32701 | Registered Nurse | 2005-03-14 ~ 2006-04-30 |
| Marilyn J Frankel | 518 One Center Boulevard, Altamonte Springs, FL 32701 | Registered Nurse | 1996-08-02 ~ 1997-09-30 |
| John C Henry | 521 One Center Blvd Apt 206, Altamonte Springs, FL 32701 | Emergency Medical Technician | ~ 1997-04-01 |
| Bioplus Speciality Pharmacy Services | 376 S Northlake Blvd#1008, Altamonte, FL 32701 | Pharmacy | ~ |
| Deborah Maria Bretones | 518 Royal Palm Ct, Altamonte Springs, FL 32701-2653 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Shaunagaye M Martin-boothe | 726 Florida Blvd, Altamonte Springs, FL 32701-2721 | Emergency Medical Technician | 2011-09-20 ~ 2014-07-01 |
| Find all Licenses in zip 32701 | |||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ALTAMONTE SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nikulkumar R Chaudhari | 790 Grove Bend, Decatur, GA 30030 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Samir W Aziz | 40 Pleasant St, Ansonia, CT 06401 | Physician/surgeon | 2005-03-11 ~ 2006-03-31 |
| Samir Gautam | 15 Barberry Ln, Woodbridge, CT 06525 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Shady Samir Henien | 372 Benefit St Apt 1, Providence, RI 02903-2923 | Physician/surgeon | 2020-03-11 ~ 2020-10-31 |
| Samir G Artoul | C/o Med-dent Bsns, Clive, IA 50325 | Physician/surgeon | 2002-05-02 ~ 2003-02-28 |
| Samir Patel | 40 Prospect Ave, Apt 2f, Bldg. 1, Norwalk, CT 06850 | Physician/surgeon | 2002-08-16 ~ 2003-06-30 |
| Samir C Jethwa | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2013-12-02 ~ 2014-12-31 |
| Samir A Fahmy | 58 Wildwood Terrace, Watchung, NJ 07069 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Samir A Ahmad | 15724 Sambuca Circle, Austin, TX 78728 | Physician/surgeon | 1999-11-17 ~ 2001-01-31 |
| Samir Samarany | 6112 Town Walk Dr, Hamden, CT 06518 | Physician/surgeon | 2014-04-09 ~ 2014-09-30 |
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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).