SUSAN LEE DDS
Controlled Substance Registration for Practitioner


Address: 55 N Water St Unit B205, Norwalk, CT 06854-2345

SUSAN LEE DDS (Credential# 470180) 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.

Business Overview

SUSAN LEE DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041463. 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 55 N Water St Unit B205, Norwalk, CT 06854-2345. The current status is active.

Basic Information

Licensee Name SUSAN LEE DDS
Credential ID 470180
Credential Number CSP.0041463
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 55 N Water St Unit B205
Norwalk
CT 06854-2345
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-05-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
704153 2.009701 Dentist 2007-03-20 2019-10-01 - 2020-09-30 ACTIVE
741740 22.008438 Dental Anesthesia/Conscious Sedation Permit 2007-06-20 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 55 N WATER ST UNIT B205
City NORWALK
State CT
Zip Code 06854-2345

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Anastasia Malik 55 N Water St Apt B404, Norwalk, CT 06854-2345 Pharmacist 2020-02-01 ~ 2022-01-31
Megan R Lovell 55 N Water St Apt B406, Norwalk, CT 06854-2345 Dentist 2019-09-01 ~ 2020-08-31
Daniel Campina Calico Siragusa Leal 55 N Water St Apt B413, Norwalk, CT 06854-2345 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Vera V Dyment 55 N Water St Apt B401, Norwalk, CT 06854-2345 Veterinarian 2015-05-01 ~ 2016-04-30
Wendy Kay Dodge 55 N Water St # B411, Norwalk, CT 06854-2345 Certified Public Accountant License 2014-01-01 ~ 2014-12-31

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Competitor

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City NORWALK
Zip Code 06854
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK

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Improve Information

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Dataset Information

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).

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