SAMUEL L GETTLER MD
Controlled Substance Registration for Practitioner


Address: 23 Hoyt Street 2nd Floor, Stamford, CT 06905

SAMUEL L GETTLER MD (Credential# 433054) 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.

Business Overview

SAMUEL L GETTLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038964. 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 23 Hoyt Street 2nd Floor, Stamford, CT 06905. The current status is active.

Basic Information

Licensee Name SAMUEL L GETTLER MD
Credential ID 433054
Credential Number CSP.0038964
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 23 Hoyt Street 2nd Floor
Stamford
CT 06905
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-03-28
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
561595 1.044013 Physician/Surgeon 2006-01-10 2019-12-01 - 2020-11-30 ACTIVE
865142 70.931108 Emergency Medical Technician 1993-05-01 - 1995-06-30 INACTIVE

Office Location

Street Address 23 HOYT STREET 2ND FLOOR
City STAMFORD
State CT
Zip Code 06905

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Competitor

Search similar business entities

City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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Dataset Information

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).

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