STEVEN A FERN MD (Credential# 557826) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
STEVEN A FERN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040243. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 2 1/2 Dearfield Drive, Ct, CT 06831-5335. The current status is active.
| Licensee Name | STEVEN A FERN MD |
| Credential ID | 557826 |
| Credential Number | 1.040243 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 1/2 Dearfield Drive Ct CT 06831-5335 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-03-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 302388 | CSP.0031837 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2 1/2 Dearfield Drive |
| City | CT |
| State | CT |
| Zip Code | 06831-5335 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marjan Hedayatzadeh | 2 1/2 Dearfield Dr Ste 101, Greenwich, CT 06831-5335 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karl Roberts | 2 1/2 Dearfield Dr Ste 101, Greenwich, CT 06831-5335 | Chiropractor | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hui Ja Paek | 235 Glenville Rd, Greenwich, CT 06831 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gloria E Triana | 11 Hollow Wood Lane, Greenwich, CT 06831 | Real Estate Salesperson | ~ |
| Pointe Residential Builders LLC | 881 Lake Ave, Greenwich, CT 06831 | Major Contractor | 2020-06-26 ~ 2021-06-30 |
| Hrishikesh N. Gogate Dds | 90 Dearfield Drive, Greenwich, CT 06831 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Deborah Alza | 10 Buena Vista Drive, Greenwich, CT 06831 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Hy Pomerance | 55a Byram Terrace Drive, Greenwich, CT 06831 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Maryann Margolies | 8 Pilgrim Dr, Greenwich, CT 06831 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Karen L Kain | 129 Cutler Rd, Greenwich, CT 06831 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Joel M Rein | 2 1/2 Dearfield Dr, Greenwich, CT 06831 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Young Sook Lieu | 52 Almira Dr Unit C, Greenwich, CT 06831 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06831 | |||
| City | CT |
| Zip Code | 06831 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yanna Karabatsos Md | 205 Fern St, W. Hartford, CT 06119 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ashraf Mikhail | 20 Fern Dr, Roslyn, NY 11576-2202 | Physician/surgeon | 2014-02-25 ~ 2014-11-30 |
| Andrew C Fazzone | 41 Fern St, Bridgeport, CT 06606 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Chunguang Chen Md | 51 Fern Pl, Berkley Heights, NJ 07922 | Physician/surgeon | 2005-03-17 ~ 2005-12-31 |
| Neysa J Mcdonald | 90 Fern Street, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kim L Koller | 4019 Teal Fern Ct, Houston, TX 77059 | Physician/surgeon | 1992-11-24 ~ 1993-12-31 |
| Fern L Perlman | 15 Cindy Lane, Weston, CT 06883 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas John Sakrison Durant | 2 Fern Ave Apt 11, Wallingford, CT 06492-6513 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Mortimer J Hourihane | 5 Sweet Fern Retreat, Savannah, GA 31411 | Physician/surgeon | 2008-01-18 ~ 2009-02-28 |
| Marly L Larrabee · Marlene | 139 Fern Avenue, Long Island, ME 04050 | Physician/surgeon | 2005-08-25 ~ 2006-08-31 |
Please comment or provide details below to improve the information on STEVEN A FERN 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).