ANTHONY K SAMPINO (Credential# 1437370) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ANTHONY K SAMPINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057042-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 64 Hillside Rd, Woodbury, CT 06798-4000. The current status is active.
| Licensee Name | ANTHONY K SAMPINO |
| Credential ID | 1437370 |
| Credential Number | 1.057042-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
64 Hillside Rd Woodbury CT 06798-4000 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-18 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1286819 | CSP.0060349 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1489409 | 1.058615-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2018-06-30 | INACTIVE |
| 952875 | 70.012677 | Emergency Medical Technician | 2010-09-15 | 2010-09-15 - 2013-06-30 | INACTIVE |
| Street Address | 64 HILLSIDE RD |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-4000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura N Rand | 40 Hillside Rd, Woodbury, CT 06798-4000 | Veterinarian | 2020-02-01 ~ 2021-01-31 |
| Frank-paul Sampino | 64 Hillside Road, Woodbury, CT 06798-4000 | Emergency Medical Technician | 2007-06-20 ~ 2009-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily Anne Vistica Sampino | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Anthony Griffiths | New Preston, CT 06777 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Anthony H Axiotis | Po Box 566, Fairfield, CT 06430 | Physician/surgeon | 1995-01-09 ~ 1996-01-31 |
| Anthony V Dallas | 119 Cumberland Pl, Hendersonville, TN 37075-4358 | Physician/surgeon | ~ |
| Anthony J Bravo Md | 160 Red Oak Rd, Fairfield, CT 06430 | Physician/surgeon | 2004-09-08 ~ 2005-10-31 |
| Anthony Marchand | Po Box 10, Summit, NJ 07901 | Physician/surgeon | 2001-10-09 ~ 2002-11-30 |
| Anthony H Repucci Md | 100 Hitchcock Way, Manchester, NH 03104 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
| Anthony Ng | 195 Dunton Circle, Hampden, ME 04444 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anthony J Natale Md | 209 Vine St, New Britain, CT 06052 | Physician/surgeon | 2003-04-23 ~ 2004-04-30 |
| Anthony R Carter Md | 93 Williams Rd, Cheshire, CT 06410 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on ANTHONY K SAMPINO.
| 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).