SUSAN J MATURLO (Credential# 544023) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 17, 1995. The license expiration date date is June 30, 1996. The license status is INACTIVE.
SUSAN J MATURLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022198. The credential type is physician/surgeon. The effective date is April 17, 1995. The expiration date is June 30, 1996. The business address is Po Box 1348, Espanola, NM 87532. The current status is inactive.
| Licensee Name | SUSAN J MATURLO |
| Credential ID | 544023 |
| Credential Number | 1.022198 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 1348 Espanola NM 87532 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1980-05-30 |
| Effective Date | 1995-04-17 |
| Expiration Date | 1996-06-30 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148211 | CSP.0009624 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-01-05 - 1996-01-01 | INACTIVE |
| Street Address | PO BOX 1348 |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah J Dado | 1310 Santa Clara Dr, Espanola, NM 87532 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Larry A Noble | Rt1 Box 199c, Espanola, NM 87532 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Harvie Dale Harrier Md | Po Box 370, Espanola, NM 87532 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Kevin Daniel Salazar | 912 Calle Quintana, Espanola, NM 87532-3051 | Registered Nurse | 2018-07-26 ~ 2019-07-31 |
| City | ESPANOLA |
| Zip Code | 87532 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ESPANOLA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Kornacki | Apt 4m, Ny, NY 10014 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Susan D Dibs | 14 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2006-04-13 ~ 2007-05-31 |
| Susan Seo | 550 1st Avenue, New York, NY 10025 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Susan T Lubin | 58 Franklin Ave, Rye, NY 10580-2545 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Susan Mcnamara | 545 Main St., Middlefield, CT 06455 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Susan T Williams | G.i. Pathology, Memphis, TN 38112 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Susan L Abend | 630 Plantation St, Worcester, MA 01605 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Susan Beris | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Paul C Nowak Md | 12 Susan Dr, Somers, NY 10589 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on SUSAN J MATURLO.
| 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).