FRED S SIEGEL (Credential# 545578) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
FRED S SIEGEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025665. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 540 Saybrook Road, Middletown, CT 06457. The current status is active.
| Licensee Name | FRED S SIEGEL |
| Credential ID | 545578 |
| Credential Number | 1.025665 |
| Credential Type | Physician/Surgeon |
| Business Address |
540 Saybrook Road Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-06-19 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147654 | CSP.0012316 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 540 Saybrook Road |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chia-chi Wang | 540 Saybrook Road, Middletown, CT 06457-3654 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph J Robles | 540 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kort C Knudson Md | 540 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth L Eckhart Md | 540 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Its Kids | 540 Saybrook Road, Middletown, CT 06457 | Child Care Center | 2000-01-05 ~ 2001-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Drew K Siegel | 205 Brighton Dr, Elon, NC 27244-8306 | Physician/surgeon | 2009-10-01 ~ 2010-09-22 |
| Norman J Siegel | 43 Wellington Dr, Orange, CT 06477 | Physician/surgeon | 2006-02-06 ~ 2007-03-31 |
| Bonita H Siegel | 210 Saint James Pl, Brooklyn, NY 11238 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| S. Jonathan Siegel | 80 Shunpike Rd Unit 301, Cromwell, CT 06416-4402 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Bernard S Siegel Md | 61 Oxbow Lane, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mark D. Siegel | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lesley Siegel Md | 79 Kildeer Road, Hamden, CT 06517 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Sharon G Siegel | 8007 St Martins Lane, Philadelphia, PA 19118 | Physician/surgeon | ~ 1999-10-31 |
| Jerome D Siegel Md | 6 Colonial Drive Suite 1, Westborough, MA 01581 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Please comment or provide details below to improve the information on FRED S SIEGEL.
| 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).