SUSAN M DONOHUE
Controlled Substance Registration for Practitioner


Address: 191 Darthmouth Dr, Mystic, CT 06355

SUSAN M DONOHUE (Credential# 1332214) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

SUSAN M DONOHUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062064. The credential type is controlled substance registration for practitioner. The effective date is April 20, 2019. The expiration date is February 28, 2021. The business address is 191 Darthmouth Dr, Mystic, CT 06355. The current status is active.

Basic Information

Licensee Name SUSAN M DONOHUE
Credential ID 1332214
Credential Number CSP.0062064
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 191 Darthmouth Dr
Mystic
CT 06355
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-02-06
Effective Date 2019-04-20
Expiration Date 2021-02-28
Refresh Date 2019-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1319472 47.004153 Veterinarian 2016-01-28 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 191 DARTHMOUTH DR
City MYSTIC
State CT
Zip Code 06355

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Competitor

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City MYSTIC
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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Kristen Donohue-gonzalez 11 Pinto Ln, Monroe, CT 06468-1376 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Susan Park Md 1 Theall Rd, Rye, NY 10580 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Susan J Lee 111 Park St Apt 14e, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2004-09-14 ~ 2005-02-28
Susan M Attmore 2 The Mews, Simsbury, CT 06070 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Susan W Ade 28 Cider Hill Dr, Cromwell, CT 06416-1170 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Susan E Hardy Md 904 1/2 State St, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
Susan M Richman 103 N Main St, Branford, CT 06405-3034 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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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).

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