SUZY S SHUKOVSKY MD (Credential# 159660) 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.
SUZY S SHUKOVSKY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018310. 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 705 Rosemary Cir, Bradenton, FL 34212-5015. The current status is active.
| Licensee Name | SUZY S SHUKOVSKY MD |
| Credential ID | 159660 |
| Credential Number | CSP.0018310 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
705 Rosemary Cir Bradenton FL 34212-5015 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-09-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548552 | 1.030584 | Physician/Surgeon | 1990-02-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 705 ROSEMARY CIR |
| City | BRADENTON |
| State | FL |
| Zip Code | 34212-5015 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan J Morin | 1064 River Wind Circle, Bradenton, FL 34212 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Eugene Parent Md | 6123 9th Avenue Circle Ne, Bradenton, FL 34212 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sudha Tallapragada | 6123 9th Ave.cir.n.e., Bradenton, FL 34212 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Aleksandra Shateva | 426 141st Ct Ne, Bradenton, FL 34212 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Christopher R Baker | 13425 3rd Ave Ne, Bradenton, FL 34212 | Professional Engineer | 2019-12-03 ~ 2021-01-31 |
| Scott T Jeffrey | 14910 17th Avenue E, Bradenton, FL 34212 | Electrical Unlimited Journeyperson | 2018-10-01 ~ 2019-09-30 |
| William J Lewis | 6515 Grand Estuary Trail, Bradenton, FL 34212 | Heating, Piping & Cooling Unlimited Journeyperson | 2018-09-01 ~ 2019-08-31 |
| Lisa D Dorner | 399 Snapdragon Loop, Bradenton, FL 34212 | Advanced Practice Registered Nurse | 2017-04-01 ~ 2018-03-31 |
| Albert D Janezic | 8107 Heritage Grand Pl, Bradenton, FL 34212 | Certified Public Accountant Certificate | ~ |
| Shelley A Gentile | 9002 Brookfield Terrace, Bradenton, FL 34212 | Real Estate Salesperson | 2012-06-01 ~ 2013-05-31 |
| Find all Licenses in zip 34212 | |||
| City | BRADENTON |
| Zip Code | 34212 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRADENTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Shukovsky Dmd | 1290 Summer St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suzy Soft Serve | 70 New Park Ave, Hartford, CT 06106 | Frozen Dessert Retailer | 1996-03-01 ~ 1996-12-31 |
| 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 |
| Suzy Geenberg India Pale Ale (with Added Mango Puree) | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2020-03-24 ~ 2023-03-22 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SUZY S SHUKOVSKY MD.
| 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).