SAMUEL L SIEGLER (Credential# 163034) 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.
SAMUEL L SIEGLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023826. 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 186 Coachmans Dr, Southbury, CT 06488. The current status is active.
| Licensee Name | SAMUEL L SIEGLER |
| Credential ID | 163034 |
| Credential Number | CSP.0023826 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
186 Coachmans Dr Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546401 | 1.027154 | Physician/Surgeon | 1986-04-04 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 186 COACHMANS DR |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel H Yun | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samuel S Engel Md | 520 West Ave, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Samuel Jacob | 574 Central Ave Apt 3a, New Haven, CT 06515-2154 | Controlled Substance Registration for Practitioner | 2011-08-29 ~ 2013-02-28 |
| Samuel E Book | 115 Technology Dr Apt A-203, Trumbull, CT 06611-6337 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shawn K Samuel | 15 Indian Trl, New Rochelle, NY 10804-2809 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samuel Li | 162 Beelzlebub Rd, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samuel L Belau | 42 Two Mile Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2006-07-31 ~ 2007-02-28 |
| Samuel A Pauli | 19 Hepburn Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Samuel T Wilkinson | 100 York St Ste 2j, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dias Samuel | 5 Stoneham Ln, New City, NY 10956-1112 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SAMUEL L SIEGLER.
| 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).