SUSAN L DONNELLY PAC (Credential# 230257) 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 L DONNELLY PAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029374. 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 449 Gardner St, Manchester, CT 06040. The current status is active.
| Licensee Name | SUSAN L DONNELLY PAC |
| Credential ID | 230257 |
| Credential Number | CSP.0029374 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
449 Gardner St Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-03-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742684 | 23.000935 | Physician Assistant | 2000-02-04 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 449 GARDNER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John F Hedlund | 449 Gardner St, Manchester, CT 06040 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Biles Md | 8 Donnelly Dr, New Fairfield, CT 06812-2502 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John M Donnelly II | 9 Rockwell Rd, Ridgefield, CT 06877-5006 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason M Donnelly | 32 Church St Apt #6, Lebanon, NH 03766 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Theresa Donnelly | 76 Genesee Ln, Madison, CT 06443-1666 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa A Donnelly Md | 17 Pine Rd, West Hartford, CT 06119-1046 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Donnelly Md | 275 Steele Rd, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Ellen N Donnelly Aprn | 34 West Oak Dr, Houston, TX 77056 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Joseph L Donnelly IIi | 6609 Peralto Core, Austin, TX 78730 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Laurel Karian Chandler | 25 Donnelly Drive, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| John E Donnelly | 305 53rd Street, Virginia Beach, VA 23455 | Controlled Substance Registration for Practitioner | 1994-06-17 ~ 1996-06-01 |
Please comment or provide details below to improve the information on SUSAN L DONNELLY PAC.
| 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).