SUSAN LEWIS MD (Credential# 154962) 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 LEWIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014286. 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 261 Bradley St, New Haven, CT 06510-1110. The current status is active.
| Licensee Name | SUSAN LEWIS MD |
| Credential ID | 154962 |
| Credential Number | CSP.0014286 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
261 Bradley St New Haven CT 06510-1110 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544472 | 1.023207 | Physician/Surgeon | 1981-10-16 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 261 BRADLEY ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-1110 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miryam Welbourne | 261 Bradley St, New Haven, CT 06510-1110 | Psychologist | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer E Myer Md | 261 Bradley St Ste 3, New Haven, CT 06510-1110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Alsamarai | 435 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan A Lewis | 381 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2014-12-22 ~ 2017-02-28 |
| Felicia M Lewis Md | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Lambert Lewis | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter Leff | 455 Lewis Ave Ste #216, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas M Lewis Dmd | 10 Fairway Dr, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Lewis L Levy Md | 5 Durham Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Laurence Nair Md | 455 Lewis Ave Ste 206, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lewis D Hahn | 123 York St Apt 7g, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
| Jennifer A Curtis Md | 455 Lewis Ave Ste 106, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).