SUHER BAKER DMD (Credential# 448987) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
SUHER BAKER DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040531. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 0677 Sw Lowell St Apt 364, Portland, OR 97239-4426. The current status is inactive.
Licensee Name | SUHER BAKER DMD |
Credential ID | 448987 |
Credential Number | CSP.0040531 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
0677 Sw Lowell St Apt 364 Portland OR 97239-4426 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2006-09-06 |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
704095 | 2.009643 | Dentist | 2006-08-10 | 2015-07-01 - 2016-06-30 | INACTIVE |
741738 | 22.008436 | Dental Anesthesia/Conscious Sedation Permit | 2007-03-29 | 2015-04-01 - 2016-03-31 | INACTIVE |
Street Address | 0677 SW LOWELL ST APT 364 |
City | PORTLAND |
State | OR |
Zip Code | 97239-4426 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paragon Bioteck, Inc. · Paragon Bioteck | 4640 Sw Macadam Ave, Portland, OR 97239 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2016-11-17 ~ |
Perry Fellman | 3939 Sw Bond Ave, Portland, OR 97239 | Electrical Unlimited Journeyperson | 2012-10-01 ~ 2013-09-30 |
Targol Saedi | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Dmitri V Aleksandrov | 3211 Sw 10th Ave., Portland, OR 97239 | Dentist | ~ |
Hermelinda Trujillo | 6108 Sw 18th Drive, Portland, OR 97239 | Hairdresser/cosmetician | 2004-09-13 ~ 2006-10-31 |
Maureen L Bennett | 3939 Sw Bond Ave, Portland, OR 97239 | Physical Therapist | 2009-10-01 ~ 2010-09-30 |
Deborah M Holland | 4920 Sw 31st Drive, Portland, OR 97239-1358 | Architect | 2020-08-01 ~ 2021-07-31 |
Maryanne Johnson | 3112 Sw Santa Monica St, Portland, OR 97239-1368 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
Maureen A Connealy | 6312 Sw Capitol Hwy # 106, Portland, OR 97239-1938 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
Ayn R Generes | 5331 Sw Macadam Ave Ste 376, Portland, OR 97239-3852 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
Find all Licenses in zip 97239 |
City | PORTLAND |
Zip Code | 97239 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lee A Baker | 330 N Honeycomb Cir, Sequim, WA 98382-3261 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Alissa C Baker | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Safisha T Baker | 55 Orange St Apt 201, New Haven, CT 06510-3145 | Controlled Substance Registration for Practitioner | 2019-03-15 ~ 2021-02-28 |
Corey Baker | 282 Washington St., Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
Kyle A Baker | 1 Grove St, New Britain, CT 06053-4116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles B Baker Md | 400 Mansfield St, New Haven, CT 06511-2023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Abu Baker Mahmood | 151 Sumner Ave Apt 4, Springfield, MA 01108-2334 | Controlled Substance Registration for Practitioner | 2015-10-14 ~ 2017-02-28 |
Julie K Baker | 75 Brinsmade Rd, Hamden, CT 06514-1904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James Baker | 27 Hillsley Rd, Darien, CT 06820-2217 | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Lauren C Baker | 14 Hosmer St # 1, Watertown, MA 02472-1978 | Controlled Substance Registration for Practitioner | 2019-05-15 ~ 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).