EUGENE D SULLIVAN (Credential# 543763) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
EUGENE D SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021621. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1000 Asylum Ave, Hartford, CT 06105. The current status is active.
| Licensee Name | EUGENE D SULLIVAN |
| Credential ID | 543763 |
| Credential Number | 1.021621 |
| Credential Type | Physician/Surgeon |
| Business Address |
1000 Asylum Ave Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1979-08-01 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1266753 | CSP.0059445 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-02-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 147201 | CSP.0012080 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eugene D Sullivan | 50 Bates Dr, East Hartford, CT 06108 | Notary Public Appointment | 1982-04-01 ~ 1987-03-31 |
| Street Address | 1000 ASYLUM AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malta House of Care, Inc. · Malta House of Care Mobile Medicial Clinic | 1000 Asylum Ave, Hartford, CT 06105-1770 | Outpatient Clinic | 2019-08-02 ~ 2022-06-30 |
| Amanda Fantry | 1000 Asylum Ave, Hartford, CT 06105-1770 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Luis F Diez-morales | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| H Robert Silverstein | 1000 Asylum Ave, Hartford, CT 06105-1794 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Peter P White | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Bechara Barrak Md | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Malta House of Care, Inc.-st. Peter's Church | 1000 Asylum Ave, Hartford, CT 06105-1770 | Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Martin Hoffman Do | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| James M Feeney Md · A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multiple Rib Fractures. | 1000 Asylum Ave, Hartford, CT 06105-1770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aileen Pangilinan | 1000 Asylum Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eugene F Sullivan | 116 Broadway, Norwich, CT 06360 | Certified Public Accountant Firm Permit | 1989-01-11 ~ 1989-12-31 |
| Eugene Kim | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Eugene F Lawlor IIi | Po Box 9, Unionville, CT 06085 | Physician/surgeon | 2003-10-21 ~ 2004-11-30 |
| Eugene J D'adamo | 33 Cedar St, Rye, NY 10580 | Physician/surgeon | 1996-09-05 ~ 1997-08-31 |
| Eugene A Burke | 270 Jay St, Brooklyn, NY 11201 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eugene M Wasserman Md | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2008-02-14 ~ 2009-03-31 |
| James Eugene Dowdell | 525 E 71st St Apt 9j, New York, NY 10021-4882 | Physician/surgeon | ~ |
| Eugene J D'angelo Md | 207 East St, Southington, CT 06489 | Physician/surgeon | 2000-05-23 ~ 2001-05-31 |
| Eugene Shih | 170 Park Row Apt 18b, New York, NY 10038 | Physician/surgeon | 1999-11-03 ~ 2000-10-31 |
| Eugene L Goldberg | 186 Old Ridgefield, Wilton, CT 06897 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
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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).