STEVEN M SOUTHWICK (Credential# 545211) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
STEVEN M SOUTHWICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024842. The credential type is physician/surgeon. The effective date is May 1, 2019. The expiration date is April 30, 2020. The business address is P.o Box 548, Old Lyme, CT 06371. The current status is active.
Licensee Name | STEVEN M SOUTHWICK |
Credential ID | 545211 |
Credential Number | 1.024842 |
Credential Type | Physician/Surgeon |
Business Address |
P.o Box 548 Old Lyme CT 06371 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1986-06-06 |
Effective Date | 2019-05-01 |
Expiration Date | 2020-04-30 |
Refresh Date | 2019-06-18 |
Street Address | P.O Box 548 |
City | Old Lyme |
State | CT |
Zip Code | 06371 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06371 |
City | Old Lyme |
Zip Code | 06371 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Old Lyme |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bruce R Dziura | 39 Lakeview St, Southwick, MA 01077-9610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Jayson R St. Jacques | 22 Deer Run, Southwick, MA 01077 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Wayne O Southwick | Po Box 208071, New Haven, CT 06520-8071 | Physician/surgeon | 2003-01-10 ~ 2004-02-29 |
James A Cennamo | 13 Grandview St, Southwick, MA 01077 | Physician/surgeon | 1994-02-28 ~ 1995-02-28 |
Ramachandran Kuppuswamy | 243 Hillside Road, Southwick, MA 01077 | Physician/surgeon | 2018-09-04 ~ 2019-09-30 |
Jerri N Fitzgerald | 72 Davis Road, Southwick, MA 01077 | Physician/surgeon | 2009-02-05 ~ 2010-03-31 |
Jacquelyn R Kimball | 151 Fred Jackson Rd, Southwick, MA 01077-9712 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Steven R Mccoy | Po Box 640, Litchfield, CT 06759-0640 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
Steven Jay Pearlman | 539 Danbury Rd, Wilton, CT 06897-2216 | Physician/surgeon | ~ |
Steven Lee | 66 Patriot Rd, Southbury, CT 06488-1277 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on STEVEN M SOUTHWICK.
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).