SAMANTHA M JANSSON MD (Credential# 553803) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
SAMANTHA M JANSSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036211. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 200 East 66th Street, Ny, NY 10065. The current status is active.
Licensee Name | SAMANTHA M JANSSON MD |
Credential ID | 553803 |
Credential Number | 1.036211 |
Credential Type | Physician/Surgeon |
Business Address |
200 East 66th Street Ny NY 10065 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1997-07-18 |
Effective Date | 2019-04-01 |
Expiration Date | 2020-03-31 |
Refresh Date | 2019-03-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
484378 | CSP.0042689 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-05 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 200 East 66th Street |
City | NY |
State | NY |
Zip Code | 10065 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erik Jonathan Blutinger | 166 E 63rd St, New York, NY 10065 | Physician/surgeon | ~ |
Crestview Partners Iv, Lp | 590 Madison Avenue, New York, NY 10065 | Securities - Exemptions | 2020-06-17 ~ |
Abigail L Peck | 406 E 63rd Street, New York, NY 10065 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cevat A Ozan | 26 East 64th Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
John E Berson | 245 East 63rd Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
Naomi Alper | 1161 York Avenue, New York, NY 10065 | Licensed Clinical Social Worker | ~ |
Redbird Series 2019, Lp | 667 Madison Ave, Fl 16, New York, NY 10065 | Securities - Exemptions | 2020-06-01 ~ |
Andrew C Shih Md | 200 E 62nd St Apt 9b, New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Inga Katharina Mewes Blom | 210 E64th St., New York, NY 10065 | Psychologist | ~ |
Flavio Gaudio | 525 E. 68th St., New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 10065 |
City | NY |
Zip Code | 10065 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Samantha G Shankar | 123 Forest Ave, New Rochelle, NY 10804-4228 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samantha D'annunzio | 36 Stonewall Cir, West Harrison, NY 10604-1117 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samantha Joan Palmaccio | 51 Schuyler Ave, Stamford, CT 06902 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Samantha G S Smith | 441 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Samantha A Rai | 658 Grant Road, North Salem, NY 10560 | Physician/surgeon | 2002-09-09 ~ 2003-09-30 |
Samantha A Franco | 7 Watch Hill Way, South Kingstown, RI 02879 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Samantha Douglas Baer | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Catherine Jansson | 22 Seabury Ave, Ledyard, CT 06339 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
E Robert Jansson | 27 Walnut Dr, Marlborough, CT 06447 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
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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).