SUSAN MATHEW MD (Credential# 158528) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SUSAN MATHEW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018970. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 10 Point Comfort, Waterford, CT 06385. The current status is inactive.
Licensee Name | SUSAN MATHEW MD |
Credential ID | 158528 |
Credential Number | CSP.0018970 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
10 Point Comfort Waterford CT 06385 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2009-03-01 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
549002 | 1.031212 | Physician/Surgeon | 1990-11-09 | 2009-11-01 - 2010-10-31 | INACTIVE |
Street Address | 10 POINT COMFORT |
City | WATERFORD |
State | CT |
Zip Code | 06385 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
Find all Licenses in zip 06385 |
City | WATERFORD |
Zip Code | 06385 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jenny Mathew | 12 Heritage Dr, Avon, CT 06001-4521 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Mathew R. Williams | 174 W 76th St Apt 8g, New York, NY 10023-8407 | Controlled Substance Registration for Practitioner | 2015-04-10 ~ 2017-02-28 |
Mathew D Kline | 212 Wooster St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Anil Mathew Md | 228 Deerbrooke Circle, Soutington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mathew Alias Do | 5 King Arthur Way Apt 2, Newington, CT 06111-2228 | Controlled Substance Registration for Practitioner | 2011-11-07 ~ 2013-02-28 |
Nickie Mathew | 110 Spring Meadow Dr Apt 14, Williamsville, NY 14221-8423 | Controlled Substance Registration for Practitioner | 2013-02-22 ~ 2015-02-28 |
Marina Mathew | 1 W Glen Ave, Port Chester, NY 10573-2223 | Controlled Substance Registration for Practitioner | 2019-11-01 ~ 2021-02-28 |
Linda T Mathew Md | 228 Deerbrooke Circle, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Salil Mathew | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Eapen S Mathew | 80 Seymour St, Jb333, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).