JOHN STEPHEN SULLIVAN (Credential# 1657237) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JOHN STEPHEN SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063173-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 38 Crown St Apt 310, New Haven, CT 06510-3354. The current status is active.
| Licensee Name | JOHN STEPHEN SULLIVAN |
| Credential ID | 1657237 |
| Credential Number | 1.063173-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
38 Crown St Apt 310 New Haven CT 06510-3354 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1665423 | CSP.0071361 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-03 | 2019-06-03 - 2021-02-28 | ACTIVE |
| Street Address | 38 CROWN ST APT 310 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3354 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie A Blackburn | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2012-08-13 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Ullrich | 38 Crown St Apt 412, New Haven, CT 06510-3354 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Madeleine Curran Coleman | 38 Crown St Apt 316, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy Fenoglio | 38 Crown St Apt 318, New Haven, CT 06510-3354 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kelly L Connelly | 38 Crown St Apt 413, New Haven, CT 06510-3354 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| 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 | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael O'sullivan | 109 S Main St Apt C6, West Hartford, CT 06107-2527 | Resident Physician | 2013-07-01 ~ 2019-06-30 |
| Phelan E Maruca-sullivan | 83 Vineyard Rd, New Haven, CT 06517-1637 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Marie Sullivan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Stephen John Sullivan Jr | 104 Champlin Place N, Newport, RI 02840 | Architect | 2019-10-02 ~ 2020-07-31 |
| Allison Mary Stuppy-sullivan | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Stephen Wu | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Stephen D Packer | 224 Elmwood Ave, Maplewood, NJ 07040-1907 | Resident Physician | 2017-06-22 ~ 2023-06-30 |
| Stephen L Carter | 175 19th St. #505, Brooklyn, NY 11232 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Stephen F Sullivan · Sullivan Construction Co | 26 Wood End Dr, Easton, CT 06612-1133 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Stephen J Sullivan Sr · S Sullivan Builders | 249 Norton St, Plantsville, CT 06479 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
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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).