SUSAN A MIKO DO (Credential# 154528) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 26, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
SUSAN A MIKO DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015061. The credential type is controlled substance registration for practitioner. The effective date is March 26, 2013. The expiration date is February 28, 2015. The business address is 609 Green Sage Way, Las Vegas, NV 89138-1104. The current status is inactive.
| Licensee Name | SUSAN A MIKO DO |
| Credential ID | 154528 |
| Credential Number | CSP.0015061 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
609 Green Sage Way Las Vegas NV 89138-1104 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 2013-03-26 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2015-02-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 537979 | 1.000224-DO | Physician/Surgeon | 1987-02-11 | 2013-04-01 - 2014-03-31 | INACTIVE |
| Street Address | 609 GREEN SAGE WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89138-1104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Anthony Spada | 11636 Aruba Beach Ave, Las Vegas, NV 89138 | Gsp Class Ia Technician | 2020-04-21 ~ 2020-10-31 |
| Richard M Kacich | 438 Rosina Vista St, Las Vegas, NV 89138 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marie Michelle Zang | 1013 Chestnut Chase Street, Las Vegas, NV 89138 | Registered Nurse | 2017-10-06 ~ 2018-10-31 |
| Dimitrios T Diamandidis | 362 Carlisle Crossing St., Las Vegas, NV 89138 | Physician/surgeon | 2008-12-18 ~ 2009-09-30 |
| Nicholas Lion | 504 Lacabana Beach Dr, Las Vegas, NV 89138 | Pharmacist | 2005-02-01 ~ 2006-01-31 |
| Julie Borello | 158 Uccello Dr, Las Vegas, NV 89138-1510 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Alexander R Smith | 11226 Revelry Ln, Las Vegas, NV 89138-1518 | Home Improvement Salesperson | 2016-07-28 ~ 2016-11-30 |
| Judith A Swanson | 11408 Rancho Villa Verde Pl, Las Vegas, NV 89138-1594 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Izabella K Ostolski | 100 Park Vista Dr Unit 3022, Las Vegas, NV 89138-3026 | Physician Assistant | 2012-06-01 ~ 2013-05-31 |
| Riley Oneil | 100 Park Vista Dr Unit 2054, Las Vegas, NV 89138-3029 | Home Improvement Salesperson | 2016-03-15 ~ 2016-11-30 |
| Find all Licenses in zip 89138 | |||
| City | LAS VEGAS |
| Zip Code | 89138 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAS VEGAS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan Lewis Md | 261 Bradley St, New Haven, CT 06510-1110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan M Stine Md | 60 Englewood Dr, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Susan M Travis Aprn | 226 5th St, Verplank, NY 10596-0806 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan M Gamble | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| 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 E Mandel Md | 50 Northgate, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on SUSAN A MIKO DO.
| 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).