SAMUEL A LEE MD (Credential# 555366) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
SAMUEL A LEE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037776. The credential type is physician/surgeon. The effective date is February 1, 2005. The expiration date is February 28, 2006. The business address is 76 East Gate Lane, Hamden, CT 06514. The current status is inactive.
| Licensee Name | SAMUEL A LEE MD |
| Credential ID | 555366 |
| Credential Number | 1.037776 |
| Credential Type | Physician/Surgeon |
| Business Address |
76 East Gate Lane Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-05-21 |
| Effective Date | 2005-02-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 215231 | CSP.0028371 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2005-02-28 | INACTIVE |
| Street Address | 76 EAST GATE LANE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| 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 Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
| Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
| Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel D Kao | C/o H Kirk Watson, Hartford, CT 06106 | Physician/surgeon | 1994-02-23 ~ 1995-04-30 |
| Samuel D Critides | 9578 Bay Point Dr, Norfolk, VA 23518-2050 | Physician/surgeon | ~ |
| Samuel Jacobs | 21 E Lake Cir, Medford, NJ 08055-3440 | Physician/surgeon | 1988-05-13 ~ 1990-12-31 |
| Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Samuel J Beran | Suite 412, Harrison, NY 10528 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Samuel J Potolicchio Jr | 2601 N 3rd St, Harrisburg, PA 17110-2046 | Physician/surgeon | 1980-03-19 ~ 1981-03-31 |
Please comment or provide details below to improve the information on SAMUEL A LEE MD.
| 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).