SUSHMITHA P FERNANDES (Credential# 1371607) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
SUSHMITHA P FERNANDES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063794. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 310 Mill Hill Ave # 2, Bridgeport, CT 06610-2863. The current status is lapsed.
| Licensee Name | SUSHMITHA P FERNANDES |
| Credential ID | 1371607 |
| Credential Number | CSP.0063794 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
310 Mill Hill Ave # 2 Bridgeport CT 06610-2863 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-08-10 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1393296 | 1.056012 | Physician/Surgeon | 2016-12-15 | 2018-01-01 - 2018-12-31 | INACTIVE |
| 1489239 | 1.058485-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 310 MILL HILL AVE # 2 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2863 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gini Priyadharshini Jeyashanmugaraja | 310 Mill Hill Ave Apt 2, Bridgeport, CT 06610-2863 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline D Fernandes | 108 Macomber Ln, Portsmouth, RI 02871-4115 | Controlled Substance Registration for Practitioner | ~ |
| Sarah E Fernandes Pa | 37 Kinross Pl, Yonkers, NY 10703-2017 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin Fernandes | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lori Fernandes Md | 306 Schoolside Lane, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Hermina Fernandes | 263 Farmington Ave, Farmington, CT 06032-1941 | Controlled Substance Registration for Practitioner | ~ |
| Eugene Fernandes | Danbury Hospital 2 South, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Antonio Fernandes · Fernandes Paving | 23 Old Hollow Road, Trumbull, CT 06611 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| John Fernandes | 688-700 North Washington Ave, Bridgeport, CT 06604 | Crane Registration | 2016-09-15 ~ 2017-09-14 |
| Fernandes '19 Rum | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2002-04-21 ~ 2005-04-20 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
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| 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).