PAUL S SULLIVAN DO (Credential# 538259) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
PAUL S SULLIVAN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000527-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 345 N. Main Street, West Hartford, CT 06117. The current status is active.
| Licensee Name | PAUL S SULLIVAN DO |
| Credential ID | 538259 |
| Credential Number | 1.000527-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
345 N. Main Street West Hartford CT 06117 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-26 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 383277 | CSP.0036498 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 345 N. MAIN STREET |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tilak C Gooneratne | 345 N. Main Street, West Hartford, CT 06117 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| Melody J Snyder-kneeland Md | 345 N. Main Street, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul C Sullivan | 8 Ash St, Nantucket, MA 02554-3517 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Paul D Sullivan · Paul Sullivan's Landscaping & Odd Jobs | 3525 South Street, Coventry, CT 06238 | Home Improvement Contractor | 2001-03-26 ~ 2001-11-30 |
| Paul M Sullivan Cpa | 562 Buckingham Avenue, Milford, CT 06460 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| James N Slater | 123 Sullivan St Apt 3, New York, NY 10012-3642 | Physician/surgeon | ~ |
| John L Sullivan | 50 Ridgefield Ave, Bridgeport, CT 06610 | Physician/surgeon | 1999-11-12 ~ 2001-01-31 |
| Gail M Sullivan | 31 Old Johnson Rd, Durham, CT 06422 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brendan James Sullivan | 245 5th Ave, New York, NY 10016 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Glenn H Segal | 46 Sullivan Rd, New Milford, CT 06776 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Rose M Tamura | 41 Sullivan Dr, Redding, CT 06896-2509 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Sahil Goyal | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on PAUL S SULLIVAN DO.
| 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).