SUSAN E CAMPBELL (Credential# 1792663) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 10, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SUSAN E CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072578. The credential type is controlled substance registration for practitioner. The effective date is October 10, 2019. The expiration date is February 28, 2021. The business address is 80 Perkins St, Springfield, MA 01118-2044. The current status is active.
Licensee Name | SUSAN E CAMPBELL |
Credential ID | 1792663 |
Credential Number | CSP.0072578 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
80 Perkins St Springfield MA 01118-2044 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-10-10 |
Effective Date | 2019-10-10 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-10-15 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1679271 | 12.008426 | Advanced Practice Registered Nurse | 2019-08-24 | 2019-08-24 - 2020-06-30 | ACTIVE |
1073328 | 10.106202 | Registered Nurse | 2012-06-26 | 2019-07-01 - 2020-06-30 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Campbell | 27 Shelter Harbor Ln, Westbrook, CT 06498-1931 | Licensed Practical Nurse | 2019-06-01 ~ 2020-05-31 |
Street Address | 80 PERKINS ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01118-2044 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thi Nguyen | 61 Coral Rd, Springfield, MA 01118 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Huy Nguyen | 519 Gifford St, Springfield, MA 01118 | Nail Technician | ~ |
Lori L Kellner | 203 Kerry Dr, Springfield, MA 01118 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Rhonda Dean | 185 Island Pond Rd, Springfield, MA 01118 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Man Thi Tran | 58 Castle St., Springfield, MA 01118 | Nail Technician | 2020-06-16 ~ 2021-08-31 |
Christina Mary Camerota | 20 Bangor Street, Springfield, CT 01118 | Esthetician | ~ |
Kelly A Schafer | 132 Hartford Terrace, Springfield, MA 01118 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Giana E Aragon | 107 Audley Rd, Springfield, MA 01118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Catherine P Page-helgoe | 96 Old Brook Rd, Springfield, MA 01118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Lee Ann Duclos | 25 Mayflower Road, Springfield, MA 01118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 01118 |
City | SPRINGFIELD |
Zip Code | 01118 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Keith E Campbell | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Campbell F Bryson | 109 Church St, New Haven, CT 06510-3016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Courtney Ajani Campbell Dvm | P.o. Box 382, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2007-02-28 ~ 2008-02-29 |
Jon P Carlson | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-10 ~ 2015-02-28 |
Kirk N Campbell Md | 111 Park St#16a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Nicholas R Campbell | 181 Porter Rd, Hebron, CT 06248-1224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David I Campbell Md | 22 Apple Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Nedson J. Campbell | 150 N. Main St., Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Bryce D Campbell | 314 Humphrey St, New Haven, CT 06511-3935 | Controlled Substance Registration for Practitioner | 2015-08-20 ~ 2017-02-28 |
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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).