SUSAN B KOHN (Credential# 1180469) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SUSAN B KOHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055968. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 232 Second Rd, Summertown, TN 38483-8019. The current status is inactive.
| Licensee Name | SUSAN B KOHN |
| Credential ID | 1180469 |
| Credential Number | CSP.0055968 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
232 Second Rd Summertown TN 38483-8019 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2013-08-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1177441 | 10.112959 | Registered Nurse | 2013-08-13 | 2018-07-01 - 2019-06-30 | INACTIVE |
| 1177442 | 12.005447 | Advanced Practice Registered Nurse | 2013-08-13 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 232 SECOND RD |
| City | SUMMERTOWN |
| State | TN |
| Zip Code | 38483-8019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda L Krueger | 108 Hannah Road, Summer Town, TN 38483 | Registered Nurse | 2008-09-26 ~ 2009-08-31 |
| Kim Pauline Childers | 173 Barrier Rd, Summertown, TN 38483-5046 | Registered Nurse | 2010-01-27 ~ 2010-06-30 |
| Lynn Lorraine Whitehead | 880 Dyestone Branch Rd, Summertown, TN 38483-6018 | Registered Nurse - Temporary | 2019-10-18 ~ 2020-02-15 |
| Christopher L Taylor | 3500 Anderson Creek Rd, Summertown, TN 38483-7075 | Elevator Trainee | 2014-03-07 ~ 2014-08-31 |
| Kathryn Kilburn | 161 Hollaway St, Summertown, TN 38483-7614 | Registered Nurse | 2017-04-01 ~ 2018-03-31 |
| City | SUMMERTOWN |
| Zip Code | 38483 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUMMERTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ethan Alfred Kohn | 718 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barbara Kohn | 8 Verona Drive, Riverside, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cheryl A Kohn | 41 Woodland Park, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan Brazille | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-12-09 ~ 2021-02-28 |
| Susan J Beebe | 5 Magnolia Ave, Middletown, CT 06457-4320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan H Read | 1763 2nd Ave Apt 3n, New York, NY 10128-5365 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Schmidt | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-05-20 ~ 2015-02-28 |
Please comment or provide details below to improve the information on SUSAN B KOHN.
| 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).