MEAGAN JANUARY SULLIVAN (Credential# 435617) 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.
MEAGAN JANUARY SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039048. 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 5 Fay Ln, South Salem, NY 10590-1709. The current status is active.
| Licensee Name | MEAGAN JANUARY SULLIVAN |
| Credential ID | 435617 |
| Credential Number | CSP.0039048 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Fay Ln South Salem NY 10590-1709 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-04-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 577106 | 10.073102 | Registered Nurse | 2004-04-05 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 681573 | 12.003395 | Advanced Practice Registered Nurse | 2006-03-29 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 435615 | PTN.0008226 | PHARMACY TECHNICIAN | - | EXPIRED APPLICATION |
| Street Address | 5 FAY LN |
| City | SOUTH SALEM |
| State | NY |
| Zip Code | 10590-1709 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alice B Gottlieb | 51 Twin Lakes Rd, South Salem, NY 10590 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lorraine M Gengo | 65 Grandview Road, South Salem, NY 10590 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Jon C Jensen | 11 Elmwood Rd, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ann Marie Sementilli | 14 East Street, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Louis M Galasso | 162 Journeys End Rd, South Salem, NY 10590 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Bozena Piechota | 4 Rainbow Hill Road, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jane H Wakeman | 457 Smith Ridge Rd., South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mark A Caviola | 14 North Lake Circle, South Salem, NY 10590 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Ann M Nolan | 171journey's End Road, South Salem, NY 10590 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Denise T Mackin | 2 Country Lane, South Salem, NY 10590 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Find all Licenses in zip 10590 | |||
| City | SOUTH SALEM |
| Zip Code | 10590 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Domenick Pietro Sciaruto | 74 January Hills Road, Shutesbury, MA 01072 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Meagan W Moore | 26 Clifton St, New Haven, CT 06513-3313 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Meagan S Haynes | 40 Temple Street, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meagan L Mulawka | 7333 Town Brooke, Middletown, CT 06457-6620 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Meagan Alexis Lawrence | 35 Harrington Avenue, Shrewsbury, MA 01545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meagan E Gates | 189 Whistle Town Rd, East Lyme, CT 06333-1031 | Controlled Substance Registration for Practitioner | 2020-03-15 ~ 2021-02-28 |
| Len Jd Sullivan | Po Box 5, Somers, CT 06071-0005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barbara E Sullivan Md | 2 Kent Rd, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Kelly S Sullivan | 500 Albany Ave, Hartford, CT 06120-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilary C Sullivan | 22 Cedarcroft Dr, Madison, CT 06443-1832 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 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).