SUSAN K LEGUIRE (Credential# 1381848) 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.
SUSAN K LEGUIRE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064135. 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 1339 Lennox Ave Ne, Massillon, OH 44646-4147. The current status is active.
Licensee Name | SUSAN K LEGUIRE |
Credential ID | 1381848 |
Credential Number | CSP.0064135 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1339 Lennox Ave Ne Massillon OH 44646-4147 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-10-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1266595 | 12.006751 | Advanced Practice Registered Nurse | 2016-09-27 | 2019-07-29 - 2020-06-30 | ACTIVE |
1265503 | 10.124682 | Registered Nurse | 2015-02-11 | 2019-07-29 - 2020-06-30 | ACTIVE |
Street Address | 1339 LENNOX AVE NE |
City | MASSILLON |
State | OH |
Zip Code | 44646-4147 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christine Chalfant | 1201 Valerie Ave Nw, Massillon, OH 44646 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Joseph Tyler Kroll | 7603 Daytona St. N.w., Massillon, OH 44646 | Registered Nurse | 2020-03-06 ~ 2020-11-30 |
Lilian Alice Kerr | 4988 Highsaddle Ave. Nw, Massillon, OH 44646 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Matthews Veterinary Pharmacy | 2870 Richville Drive Se, Massillon, OH 44646 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Brian E Zolla · Brian Zolla Electrical Services LLC | 4434 Ranier Ave Nw, Massillon, OH 44646 | Electrical Unlimited Contractor | 2008-10-01 ~ 2009-09-30 |
Susan Philipose | 4535 Dressler Rd Nw, Canton, OH 44646 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jennifer J Weisenberger | 8923 Ontario St Nw, Massillon, OH 44646-1657 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Beth Anne Bailey | 387 Shaw Ave Ne, Massillon, OH 44646-4353 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Roger H Wacker Ll | 1020 Medill Ave Ne, Massillon, OH 44646-4425 | Hairdresser/cosmetician | 2011-10-07 ~ 2013-04-30 |
R.j. Matthews Co | 2780 Richville Dr Se, Massillon, OH 44646-8396 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 44646 |
City | MASSILLON |
Zip Code | 44646 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MASSILLON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Susan B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan Cornell | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christina M Starker | 89 Susan Dr, Chatham, NJ 07928-1055 | Controlled Substance Registration for Practitioner | 2015-03-11 ~ 2017-02-28 |
Susan F Dunbar Md | 161 Cherry St, New Canaan, CT 06840-4827 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Susan Lewis Md | 261 Bradley St, New Haven, CT 06510-1110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan Cary | 12 Ruth Dr, Wilbraham, MA 01095-2610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Susan Macarthur Aprn | Rr 1 Box 261-a, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Please comment or provide details below to improve the information on SUSAN K LEGUIRE.
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).