SHANNON MCKERNAN SUTHERLAND
Controlled Substance Registration for Practitioner


Address: 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383

SHANNON MCKERNAN SUTHERLAND (Credential# 1237460) 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 ACTIVE.

Business Overview

SHANNON MCKERNAN SUTHERLAND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058366. 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 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383. The current status is active.

Basic Information

Licensee Name SHANNON MCKERNAN SUTHERLAND
Credential ID 1237460
Credential Number CSP.0058366
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 330 Western Blvd Ste 102
Glastonbury
CT 06033-4383
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-07-31
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1500753 1.061130 Physician/Surgeon 2018-05-30 2019-08-01 - 2020-07-31 ACTIVE
1488870 1.058265-RES Resident Physician 2014-07-01 2014-07-01 - 2018-06-30 INACTIVE
843927 70.004194 Emergency Medical Technician 2003-10-08 2005-07-19 - 2007-06-30 INACTIVE

Office Location

Street Address 330 WESTERN BLVD STE 102
City GLASTONBURY
State CT
Zip Code 06033-4383

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Odin K Kuiper Md 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 Physician/surgeon 2020-09-01 ~ 2021-08-31
Jennifer S Wethje Aprn 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 Registered Nurse 2020-07-01 ~ 2021-06-30
Patricia L Fagan 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 Physician/surgeon 2020-03-01 ~ 2021-02-28
Matthew L Saidel 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jodi M Leopold 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 Physician/surgeon 2016-12-01 ~ 2017-11-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Brigitte P Worgaftik Md 330 Western Blvd, Glastonbury, CT 06033-4383 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mary E Farwell 330 Western Blvd, Glastonbury, CT 06033-4383 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Vanessa Segal 46 Salem Court, Glastonbury, CT 06033 Hairdresser/cosmetician ~
Laura Nadeau 3641 Hebron Ave, Glastonbury, CT 06033 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Abigail Lynn Hubbard 55 Brookview Drive, Glastonbury, CT 06033 Emergency Medical Technician ~
Maureen E Booth 36 Hubbard Run Drive, Glastonbury, CT 06033 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Wendy B Johnson 1789 Main St, Glastonbury, CT 06033 Architect 2020-08-01 ~ 2021-07-31
Michael D Devanney Pa 28 Evergreen Ln, Glastonbury, CT 06033 Physician Assistant 2020-09-01 ~ 2021-08-31
Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
Munson's Chocolates 135 Glastonbury Blvd, Glastonbury, CT 06033 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Yulhun Sung 245 Griswold St Unit A, Glastonbury, CT 06033 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Find all Licenses in zip 06033

Competitor

Search similar business entities

City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Stuart D Sutherland 41 Pequot Dr, Rocky Hill, CT 06067-3151 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Lynn A Beinfield Md 1510 Sutherland Creek Rd, Manitou Springs, CO 80829 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Shannon S Maher 16 Cat Rock Rd, Cos Cob, CT 06807-1704 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Shannon R Packer 68 Chatham Dr, Manchester, CT 06042-8521 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shannon L Degroff 11 Acre Way, Southington, CT 06489-2253 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shannon M Marcotte Do 71 Haynes St, Manchester, CT 06040 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Shannon M Bertolino Dvm 31 Gracey Rd, Canton, CT 06019-2471 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shannon M Lynch 20 York St, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shannon P Marsh 114 Woodland St, Hartford, CT 06105-1208 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shannon P Martinello Md 1 Bradley Rd Ste 102, Woodbridge, CT 06525-2235 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Improve Information

Please comment or provide details below to improve the information on SHANNON MCKERNAN SUTHERLAND.

Dataset Information

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).

Trending Searches