SAMUEL O THIER (Credential# 542159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 14, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.
SAMUEL O THIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016998. The credential type is physician/surgeon. The effective date is June 14, 1996. The expiration date is June 30, 1997. The business address is 99-20 Florence St 4b, Chestnut Hill, MA 02167. The current status is inactive.
Licensee Name | SAMUEL O THIER |
Credential ID | 542159 |
Credential Number | 1.016998 |
Credential Type | Physician/Surgeon |
Business Address |
99-20 Florence St 4b Chestnut Hill MA 02167 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1975-01-02 |
Effective Date | 1996-06-14 |
Expiration Date | 1997-06-30 |
Refresh Date | 2009-07-08 |
Street Address | 99-20 FLORENCE ST 4B |
City | CHESTNUT HILL |
State | MA |
Zip Code | 02167 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward M Daniels | 26 Lyman Rd, Chestnut Hill, MA 02167 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
Debra A Simione Mambrino | 67 Shaw Road, Chestnut Hill, MA 02167 | Registered Nurse | 2000-05-01 ~ 2001-06-30 |
Sue S Sihatrai | 775 Newton St, Chester Hill, MA 02167 | Registered Nurse | 1998-11-30 ~ 1999-12-31 |
Craig S Brotsky | 94 Harwich Rd, Chestnut Hill, MA 02167 | Optometrist | 1993-06-24 ~ 1994-02-28 |
Pamela L Harges | 122 Sherman Rd, Chestnut Hill, MA 02167 | Physician/surgeon | 1992-05-27 ~ 1993-06-30 |
Hannah M Gilligan | 32 Thornton Rd, Chestnut Hill, MA 02167 | Physician/surgeon | 1993-05-25 ~ 1994-04-30 |
Beverly A Pope | 910 Boylston St, Chestnut Hill, MA 02167 | Hairdresser/cosmetician | 1992-08-26 ~ 1993-08-31 |
James A Mann | 60 Thornton Road, Chestnut Hill, MA 02167 | Physician Assistant | 1997-07-23 ~ 1998-07-31 |
Irine Orlov | 12 White Ave Apt 1, Chestnut Hill, MA 02167 | Hairdresser/cosmetician | 1981-01-01 ~ 1994-02-28 |
Theresa M Vrotkoski | 765 Boylston Street, Brookline, MA 02167 | Registered Nurse | 1994-08-11 ~ 1995-05-31 |
Find all Licenses in zip 02167 |
City | CHESTNUT HILL |
Zip Code | 02167 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHESTNUT HILL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samuel C Sugg Jr | P.o. Box 1442, Litchfield, CT 06759 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
Samuel Z Westerfield | 141 E. Mulberry St, Lancaster, OH 43130 | Physician/surgeon | ~ 1997-11-30 |
Samuel T Ostrower Md | 415 Derby Ave, Orange, CT 06477 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
Samuel D Critides | 9578 Bay Point Dr, Norfolk, VA 23518-2050 | Physician/surgeon | ~ |
Samuel G Katz | 43 N Racebrook Rd, Woodbridge, CT 06525-1456 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Samuel P Oh | 25 Deerfield Dr, East Greenwich, RI 02818 | Physician/surgeon | 1993-09-23 ~ 1994-08-31 |
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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).