SUSAN CARDONA MD (Credential# 530270) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
SUSAN CARDONA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045393. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 2392 Glasco Tpke, Woodstock, NY 12498-1076. The current status is inactive.
| Licensee Name | SUSAN CARDONA MD |
| Credential ID | 530270 |
| Credential Number | CSP.0045393 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2392 Glasco Tpke Woodstock NY 12498-1076 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-04-23 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 565124 | 1.047542 | Physician/Surgeon | 2009-04-02 | 2010-12-01 - 2011-11-30 | INACTIVE |
| Street Address | 2392 GLASCO TPKE |
| City | WOODSTOCK |
| State | NY |
| Zip Code | 12498-1076 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Scott Mohr | 14 Van Dale Rd, Woodstock, NY 12498 | Engineer-in-training | 2001-03-13 ~ 2011-03-13 |
| Matthew A Stupple Md | 18 Lashor Rd, Woodstock, NY 12498 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Stuart Stiffey | 65 Meher Circle, Woodstock, NY 12498 | Veterinarian | 2009-09-23 ~ 2010-06-30 |
| Wayne T Miller | 35 Whitney Dr, Woodstock, NY 12498 | Optometrist | 2000-06-01 ~ 2001-06-30 |
| Alexia C Evans | 15 Cottonwood Lane, Woodstock, NY 12498 | Licensed Practical Nurse | 2007-03-20 ~ 2008-02-29 |
| Donald B Schoepf | 17 Pike La, Woodstock, NY 12498 | Electrical Unlimited Journeyperson | ~ |
| Barbara Lokos | 14 Library Lane, Woodstock, NY 12498 | Notary Public Appointment | 2003-03-01 ~ 2008-02-29 |
| Michael T Stern | Po Box 352, Woodstock, NY 12498 | Massage Therapist | 2004-11-29 ~ 2006-11-30 |
| Hans J Hanson | 35 Whitney Dr, Woodstock, NY 12498 | Certified Public Accountant Certificate | ~ |
| Arthur T Braunstein | 35 Tinker St, Woodstock, NY 12498-1234 | Emergency Medical Technician | 2018-08-01 ~ 2021-07-01 |
| Find all Licenses in zip 12498 | |||
| City | WOODSTOCK |
| Zip Code | 12498 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODSTOCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle A Cardona | 90 S Main St, Middletown, CT 06457-3649 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diana L Cardona | 105 Greens Farms Rd., Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Carolina Vicens Cardona | 200 Retreat Ave, Hartford, CT 06102-3101 | Controlled Substance Registration for Practitioner | ~ |
| Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan E Robotti | 420 Courtland Ave Apt 2, Stamford, CT 06906-1834 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan M Paxton | 216 Wild Oak Dr, Southington, CT 06489-2833 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan E Mandel Md | 50 Northgate, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on SUSAN CARDONA MD.
| 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).