TIMOTHY C. SIEGRIST MD (Credential# 991889) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TIMOTHY C. SIEGRIST MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049896. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 520 Saybrook Rd, Middletown, CT 06457-4700. The current status is active.
| Licensee Name | TIMOTHY C. SIEGRIST MD |
| Credential ID | 991889 |
| Credential Number | CSP.0049896 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
520 Saybrook Rd Middletown CT 06457-4700 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-04-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 976144 | 1.049430 | Physician/Surgeon | 2011-01-03 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 520 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4700 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan S Aranow Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Dana Ufnal Kivlin | 520 Saybrook Rd, Middletown, CT 06457-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Peter S Romeyn | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Rogan Md | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kiran Pandey Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2008-05-29 ~ 2009-07-31 |
| Raymond F Macionus | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2005-09-02 ~ 2006-10-31 |
| Alan E Bernstein Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2000-01-21 ~ 2001-03-31 |
| David M Renison Md | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Herbert A Kaufmann | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1993-11-16 ~ 1995-12-01 |
| Richard Campbell-jacobs | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 1992-09-24 ~ 1993-10-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tina Roman | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward G Myer Md | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| James M Parker Jr | 540 Saybrook Rd Ste 100, Middletown, CT 06457-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Root Center for Advanced Recovery | 520 Saybrook Rd Ste 105, Middletown, CT 06457-4700 | Psychiatric Outpatient Clinic | 2019-11-13 ~ 2022-09-30 |
| Christina Y. Kim | 520 Saybrook Rd Fl 1, Middletown, CT 06457-4700 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Brad A Jubelirer | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Allison H Whitaker | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elizabeth J Northrop | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher C Lawrence | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa E Siegrist | 14 Carriage Dr, Oxford, CT 06478-1703 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy Parsons Md | New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy Tyler Md | Po Box 138, Stonington, CT 06378-0138 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Timothy C Liu Md | 12845 Pointe Del Mar Way Ste 200, Del Mar, CA 92014-3862 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Timothy J Brumbelow Pa | 80 Van Rensselaer Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Nydia Gonzalez | 25 Timothy Ter, Windsor, CT 06095-1653 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Timothy A Fignar Md | 15 Palomba Dr Ste 5, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy Olson | 35 Wells St, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy E Quan | 140 N Wood Ct, Cheshire, CT 06410-2847 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy E Hansen | 35 State St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).