JUSTIN V SAMUEL (Credential# 563083) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.
JUSTIN V SAMUEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045501. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 38 Canter Court, Ancaster, ON L9K 1K7. The current status is inactive.
| Licensee Name | JUSTIN V SAMUEL |
| Credential ID | 563083 |
| Credential Number | 1.045501 |
| Credential Type | Physician/Surgeon |
| Business Address |
38 Canter Court Ancaster ON L9K 1K7 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-06-11 |
| Effective Date | 2016-01-01 |
| Expiration Date | 2016-12-31 |
| Refresh Date | 2017-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 465354 | CSP.0041225 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-14 | 2007-06-14 - 2008-02-29 | INACTIVE |
| Street Address | 38 Canter Court |
| City | Ancaster |
| State | ON |
| Zip Code | L9K 1K7 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christianah Adejoke Olubunmi-olowoyeye | 28 Secinaro Ave, Ancaster, ON L9G 0C6 | Registered Nurse | ~ |
| Oakrun Farm Bakery | 58 Carluke Road West, Ancaster, L3G3L1 | Bakery | 2007-07-20 ~ 2008-06-30 |
| Sonya Anne Lugowy | 64 Maplevale Drive, Ancaster, ON L9G 0C5 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| City | Ancaster |
| Zip Code | L9K 1 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Ancaster |
| 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 |
| Justin J De Grado | Psc 475 Box 1812, Fpo, 96350 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
| Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
| Justin J Finch | 1 Willowbrook Rd, Cromwell, CT 06416-1745 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Justin Marshall | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Justin Cashman | 821 Chesapeake Ave, Annapolis, MD 21403-3249 | Physician/surgeon | 2014-08-15 ~ 2015-07-31 |
| Justin G Ford | 210 19th Ave A, Seattle, WA 98122 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Samuel C Swaby | 710 Peachtree St, Atlanta, GA 30308 | Physician/surgeon | 1993-09-23 ~ 1994-06-30 |
Please comment or provide details below to improve the information on JUSTIN V SAMUEL.
| 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).