DARRYL ADAM ZUCKERMAN (Credential# 1668089) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DARRYL ADAM ZUCKERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071532. The credential type is controlled substance registration for practitioner. The effective date is June 28, 2019. The expiration date is February 28, 2021. The business address is 9631 Old Bonhomme Rd, Olivette, MO 63132-4112. The current status is active.
| Licensee Name | DARRYL ADAM ZUCKERMAN |
| Credential ID | 1668089 |
| Credential Number | CSP.0071532 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
9631 Old Bonhomme Rd Olivette MO 63132-4112 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-28 |
| Effective Date | 2019-06-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1629540 | 1.063767 | Physician/Surgeon | 2019-06-28 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 9631 OLD BONHOMME RD |
| City | OLIVETTE |
| State | MO |
| Zip Code | 63132-4112 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erik Johann Kocher | 22 Ramsgate, St Louis, MO 63132 | Architect | 2019-08-01 ~ 2020-07-31 |
| Alvin R Brown | 1126 F Bonhomme, St Louis, MO 63132 | Physician/surgeon | 2000-02-18 ~ 2001-02-28 |
| Susan T Kohlhagen | 27 Forsythia Ln, Saint Louis, MO 63132-2003 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
| Home Delivery Incontinent Suppliers Co Inc | 9385 Dielman Industrial Dr, Olivette, MO 63132-2214 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Murphy Company Mechanical Contractors and Engineers | 1233 N Price Rd, Saint Louis, MO 63132-2303 | Professional Engineering Corporation | 2020-08-14 ~ 2021-08-13 |
| Terri M Mitchell | 1139 Hilltop Dr, Saint Louis, MO 63132-2416 | Registered Nurse | 2016-12-01 ~ 2017-11-30 |
| Brett Michael Delmez | 1155 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3255 | Architect | 2019-08-01 ~ 2020-07-31 |
| Kim C. Woodward | 9612 Ashmont Dr, Olivette, MO 63132-3413 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| City | OLIVETTE |
| Zip Code | 63132 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLIVETTE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard L Zuckerman Md | 160 Hawley Ln, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaye Zuckerman | 60 Temple St Ste 5a, New Haven, CT 06510-2716 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randall Zuckerman Md | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Darryl A Simms Dmd | 281 Hartford Tpke Ste 105, Vernon, CT 06066-4759 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Darryl Elefan | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-30 ~ 2013-02-28 |
| Adam D Corrado Md | Po Box 37, Farmington, CT 06034-0037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam Y Hsu Md | 500 Bedford St Apt 220, Stamford, CT 06901-1508 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Adam Q Ferguson | 863 N Main St Ext, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam A Wright | 424 Massachusetts Ave Apt 502, Boston, MA 02118-3531 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Adam Karwiel | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DARRYL ADAM ZUCKERMAN.
| 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).