SUSAN O PERKS MD (Credential# 160577) 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 O PERKS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027263. 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 345 N Main St Ste 248, West Hartford, CT 06117-2508. The current status is active.
Licensee Name | SUSAN O PERKS MD |
Credential ID | 160577 |
Credential Number | CSP.0027263 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
345 N Main St Ste 248 West Hartford CT 06117-2508 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
554592 | 1.037002 | Physician/Surgeon | 1998-06-26 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 345 N MAIN ST STE 248 |
City | WEST HARTFORD |
State | CT |
Zip Code | 06117-2508 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ewa M Jacunski | 345 N Main St Ste 201, West Hartford, CT 06117-2508 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohammad Pazooki Md | 345 N Main St Ste 318, West Hartford, CT 06117-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amit Rathi | 345 N Main St Ste 311, West Hartford, CT 06117-2508 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Julian N Hartt Jr | 345 N Main St Ste 306, West Hartford, CT 06117-2508 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
Lisa Karabelnik | 345 N Main St Ste 317, West Hartford, CT 06117-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gayle B Harris Md | 345 N Main St Ste 242, West Hartford, CT 06117-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hai Yan Liu · Sakura Garden Restaurant | 345 N Main St Ste 140, West Hartford, CT 06117-2508 | Restaurant Liquor | 2013-09-24 ~ 2014-09-23 |
Rache Billstrom Nelson | 345 N Main St Ste 201, West Hartford, CT 06117-2508 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Marine Sahakyan | 345 N Main St Ste 201, West Hartford, CT 06117-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kristine Macomber | 345 N Main St Ste 201, West Hartford, CT 06117-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in zip 06117-2508 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
Find all Licenses in zip 06117 |
City | WEST HARTFORD |
Zip Code | 06117 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Susan Rosen Md | 32 Caroline Dr, Princeton, NJ 08540 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Susan E Robotti | 420 Courtland Ave Apt 2, Stamford, CT 06906-1834 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan Mucha | 119 Halstead Ave Apt 2, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Susan Rancis Pa | 5 Raphael Way, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Susan C Hasti | 38 Broadview St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Susan A Ruehl | 25 Forest St Apt 16c, Stamford, CT 06901 | 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).