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.
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.
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 |
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 |
Street Address | 23 HOYT STREET 2ND FLOOR |
City | STAMFORD |
State | CT |
Zip Code | 06905 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06905 |
City | STAMFORD |
Zip Code | 06905 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
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 Flynn | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-07-18 ~ 2021-02-28 |
Samuel S Engel Md | 520 West Ave, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Samuel D Durkan Dvm | 123 W Cedar St, Norwalk, CT 06854-1917 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
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 Li | 162 Beelzlebub Rd, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Samuel Jacob | 574 Central Ave Apt 3a, New Haven, CT 06515-2154 | Controlled Substance Registration for Practitioner | 2011-08-29 ~ 2013-02-28 |
Samuel Kushlan Md | 655 Whitney Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Samuel P Sprotzer Md | 202 Cherry St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Samuel D Madoff | 113 Canner St Apt 2, New Haven, CT 06511 | 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).