SAMIR DENGLE (Credential# 2039587) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 28, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SAMIR DENGLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073819. The credential type is controlled substance registration for practitioner. The effective date is April 28, 2020. The expiration date is February 28, 2021. The business address is 550 Darling St Unit 42c, Southington, CT 06489-2677. The current status is active.
| Licensee Name | SAMIR DENGLE |
| Credential ID | 2039587 |
| Credential Number | CSP.0073819 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
550 Darling St Unit 42c Southington CT 06489-2677 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-28 |
| Effective Date | 2020-04-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1643932 | 1.064031 | Physician/Surgeon | 2019-07-26 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samir Dengle | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Street Address | 550 DARLING ST UNIT 42C |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-2677 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samir Draa Md | 500 Albany Ave, Hartford, CT 06120 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Samir Iskhagi | 22 Cotton Down Way, Toronto Ontario, M274V7 | Controlled Substance Registration for Practitioner | 2012-12-13 ~ 2015-02-28 |
| Samir H Kailani Md | 29 Hospital Hill Rd, Sharon, CT 06069-2095 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Samir M Hussain | 460 Brittany Ln, Cherry Hill, NJ 08003-4954 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Samir A Haydar Do | 1 Gateledge Drive, Cape Elizabeth, ME 04107 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ahmed Mohamed Samir Mohy El Din Mostafa El Baz | 186 Woodrow St, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Samir Kandic · Samir | 25 Afton Ter, Middletown, CT 06457-1653 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
| Samir N Masri | 6/8 East Maple Street, New Canaan, CT 06840 | Certified Public Accountant Firm Permit | 1990-08-23 ~ 1990-12-31 |
| Samir Osman | 11 Oleander Street, West Haven, CT 06516 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2019-12-03 ~ 2022-12-03 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Please comment or provide details below to improve the information on SAMIR DENGLE.
| 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).