BENJAMIN U SAMUEL MD (Credential# 187843) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 2, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.
BENJAMIN U SAMUEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026015. The credential type is controlled substance registration for practitioner. The effective date is March 2, 1999. The expiration date is February 28, 2000. The business address is 2905 N Mildred Ave #1, Chicago, IL 60657. The current status is inactive.
| Licensee Name | BENJAMIN U SAMUEL MD |
| Credential ID | 187843 |
| Credential Number | CSP.0026015 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2905 N Mildred Ave #1 Chicago IL 60657 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1999-03-02 |
| Expiration Date | 2000-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553366 | 1.035773 | Physician/Surgeon | 1997-01-10 | 1997-08-04 - 1998-09-30 | INACTIVE |
| Street Address | 2905 N MILDRED AVE #1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charitywatch | 3450 N Lake Shore Dr Ste 2802, Chicago, IL 60657 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Amanda Day Hernandez | 596 West Hawthorne Pl Apt 303, Chicago, IL 60657 | Licensed Practical Nurse | ~ |
| Raymond Ross | 1308 West Fletcher Street Apt. 1w, Chicago, IL 60657 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Prarthana Khullar | 426 West Briar Place, Chicago, IL 60657 | Master's Level Social Worker | ~ |
| Mark J Sullivan | 1703 W School St, Chicago, IL 60657 | Architect | 2019-08-01 ~ 2020-07-31 |
| Danijela Stojanac | 540 West Belmont Ave 1s, Chicago, IL 60657 | Resident Physician | 2014-07-02 ~ 2020-06-30 |
| Diane M Di Girolamo | 2848 N. Racine Avenue, Chicago, IL 60657 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Margot Glasspiegel | 3257 N Sheffield Ave., Chicago, IL 60657 | Master's Level Social Worker | 2017-04-01 ~ 2018-03-31 |
| John P Case | 3232 N. Halsted St, Chicago, IL 60657 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Kathryn Quinn | 3217 N Seminary, Chicago, IL 60657 | Architect | ~ |
| Find all Licenses in zip 60657 | |||
| City | CHICAGO |
| Zip Code | 60657 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHICAGO |
| 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 |
| Benjamin Evenchik | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-11-14 ~ 2013-02-28 |
| Samuel L Siegler | 186 Coachmans Dr, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samuel G Alpert Md | 7 Gregory Pwy#83, Syracuse, NY 13214 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Francis Samuel Distefano | 27 N 7th St Apt 225, Allentown, PA 18101-1360 | Controlled Substance Registration for Practitioner | 2019-05-16 ~ 2021-02-28 |
| Samuel E Book | 115 Technology Dr Apt A-203, Trumbull, CT 06611-6337 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samuel H Belok | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2013-09-13 ~ 2015-02-28 |
| Samuel Kushlan Md | 655 Whitney Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Samuel J Brodsky | 793 Post Rd E Apt E2, Westport, CT 06880-5254 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Samuel Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).