DAVID N SMITH MD (Credential# 558554) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID N SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040971. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1600 Churchill Downs Drive, Waxhaw, NC 28173. The current status is active.
| Licensee Name | DAVID N SMITH MD |
| Credential ID | 558554 |
| Credential Number | 1.040971 |
| Credential Type | Physician/Surgeon |
| Business Address |
1600 Churchill Downs Drive Waxhaw NC 28173 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-11-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 346958 | CSP.0033825 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-05-30 | 2009-06-14 - 2011-02-28 | INACTIVE |
| Street Address | 1600 Churchill Downs Drive |
| City | Waxhaw |
| State | NC |
| Zip Code | 28173 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Seana Lyn Krauss | 1702 Palazzo Dr, Waxhaw, NC 28173 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Juliet Cavaliaro | 2408 Balthazar Way, Waxhaw, NC 28173 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sheila A Florin | 2222 Madeira Circle, Waxhaw, NC 28173 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Victor M Velez | 2000 Deep River Way, Waxhaw, NC 28173 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Alicia A Simmons | 1640 Great Road, Waxhaw, NC 28173 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kristina H Summerlin Mrs | 1008 Foxfield Road, Waxhaw, NC 28173 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Julius Mboni Tah | 611 Beauhaven Lane, Waxhaw, NC 28173 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Eyad Husam Nazer | 1329 Sunnys Halo Lane, Waxhaw, NC 28173 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Derek J. Sokoloff | 10014 King George Lane, Waxhaw, NC 28173 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Jeffrey Robert Podziewski | 1207 Lookout Circle, Waxhaw, NC 28173 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 28173 | |||
| City | Waxhaw |
| Zip Code | 28173 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Waxhaw |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David S Smith | 55 Lock St, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David L Smith · David L Smith Construction | 13 Merwin Brook Rd, Brookfield, CT 06804 | Home Improvement Contractor | 2020-03-24 ~ 2020-11-30 |
| Ben Ten | 52 Smith Farm Rd, Amston, CT 06231-1241 | Physician/surgeon | 2011-09-27 ~ 2012-03-31 |
| Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
| Lisa M Smith | 60 Montoya Dr, Branford, CT 06405 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
Please comment or provide details below to improve the information on DAVID N SMITH 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).