ADAM B SMITH (Credential# 562550) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is August 31, 2015. The license status is INACTIVE.
ADAM B SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044968-DO. The credential type is physician/surgeon. The effective date is September 1, 2014. The expiration date is August 31, 2015. The business address is 72 Quarry Dock Road, Branford, CT 06405. The current status is inactive.
| Licensee Name | ADAM B SMITH |
| Credential ID | 562550 |
| Credential Number | 1.044968-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
72 Quarry Dock Road Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-12-13 |
| Effective Date | 2014-09-01 |
| Expiration Date | 2015-08-31 |
| Refresh Date | 2015-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 424202 | CSP.0038632 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-12-16 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 375151 | CSP.0035309 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-22 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam B Smith | 9180 Pere Marquette Dr, Stanwood, MI 49346-9594 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Street Address | 72 Quarry Dock Road |
| City | Branford |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | Branford |
| Zip Code | 06405 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Branford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam M Silverman Md | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Adam Critchfield | 454 Manhattan Ave, New York, NY 10026-1088 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Adam P Mecca | 300 George St Ste 901, New Haven, CT 06511-6662 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Scott Adam Hopkins | 99 S Clinton Ave, Bay Shore, NY 11706 | Physician/surgeon | ~ |
| Adam Rodos | 808 S. Wood St., Chicago, IL 60612 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Adam J Carter | 12 Tallwood Rd, Woodbridge, CT 06525-1932 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Adam C Mues | 229 W 60th St Apt 5f, New York, NY 10023-7506 | Physician/surgeon | 2010-11-01 ~ 2011-11-30 |
| Adam Goldyne Md | 308 W 106th St # 2r, New York, NY 10025 | Physician/surgeon | 2004-02-11 ~ 2005-03-31 |
| Adam K Berkwitt Md | 333 Cedar St, New Haven, CT 06520-8064 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Adam R Kolker | 710 Park Ave, New York, NY 10021-4944 | Physician/surgeon | 1996-03-29 ~ 1996-09-30 |
Please comment or provide details below to improve the information on ADAM B SMITH.
| 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).