SUSANNE DK SMITH (Credential# 1179360) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
SUSANNE DK SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002973. The credential type is physician assistant. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 622 Millers Way, Simsbury, CT 06070. The current status is inactive.
| Licensee Name | SUSANNE DK SMITH |
| Credential ID | 1179360 |
| Credential Number | 23.002973 |
| Credential Type | Physician Assistant |
| Business Address |
622 Millers Way Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-09-09 |
| Effective Date | 2014-08-01 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1194569 | CSP.0056411 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-11-20 | 2013-11-20 - 2015-02-28 | INACTIVE |
| Street Address | 622 Millers Way |
| City | Simsbury |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | Simsbury |
| Zip Code | 06070 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Simsbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susanne Harris | 1700 Little, Guilford, CT 06437 | Physician Assistant | 2007-11-15 ~ 2009-01-31 |
| Susanne M Farrell | 107 Beechwood Pl, Staten Island, NY 10314-3065 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Delmar J Smith | 137-33 174 St, Jamaica, NY 11434 | Physician Assistant | 2011-08-25 ~ 2012-08-31 |
| Victoria K Smith Pa | 75 Railroad Ave Apt 2k, Milford, CT 06460-9206 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
| Christopher S Brooks | 118 Smith St., Gardner, MA 01440 | Physician Assistant | 2008-03-17 ~ 2009-05-31 |
| Kristine C. Correira | 37 Smith Rd, Charlton, MA 01507-1617 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Garrett F Smith | 5 Tibbals St, Milford, CT 06460-5649 | Physician Assistant | 2010-02-05 ~ 2010-12-31 |
| Karen M Smith | 349 Main Ave Apt 6, Norwalk, CT 06851-1589 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Alyson L Smith | Apt 3h/building 2, Norwalk, CT 06850 | Physician Assistant | 1997-04-02 ~ 1998-03-31 |
Please comment or provide details below to improve the information on SUSANNE DK 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).