SUSANNE SHRADER MD (Credential# 544443) 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.
SUSANNE SHRADER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023080. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 12 Fawn Brk, West Hartford, CT 06117-1032. The current status is active.
| Licensee Name | SUSANNE SHRADER MD |
| Credential ID | 544443 |
| Credential Number | 1.023080 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Fawn Brk West Hartford CT 06117-1032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1981-09-04 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152182 | CSP.0013679 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 12 FAWN BRK |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph M Civetta Md | 12 Fawn Brk, West Hartford, CT 06117-1032 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin W Roland | 3 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Julie N Rome | 25 Fawn Brk, West Hartford, CT 06117-1032 | Controlled Substance Registration for Practitioner | 2019-06-18 ~ 2021-02-28 |
| Ethan Z Pinkes | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2018-05-09 ~ 2021-01-01 |
| Deena G Sisitsky | 17 Fawn Brk, West Hartford, CT 06117-1032 | Real Estate Salesperson | ~ |
| Suzanne M Batchelor | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2018-03-06 ~ 2021-01-01 |
| Nathaniel Pinkes | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2017-06-23 ~ 2021-01-01 |
| 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 |
|---|---|---|---|
| Chet Shrader · Shrader Construction | 59 Highland Ave, Middletown, CT 06457-4116 | Home Improvement Contractor | 2011-12-05 ~ 2012-11-30 |
| Shrader & Martinez Constr Inc | 2030 W Hwy 89a Ste B2, Sedona, AZ 86336 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| Susanne Steinberg Md | 220 Locust St Apt 20a, Philadelphia, PA 19106-3931 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Susanne Muehlschlegel Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susanne Heppner | P.o. Box 1005, Fairhope, AL 36533 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Susanne J Harrison Md · Jannotta | 897 Colebrook Rd, Colebrook, CT 06021 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Susanne F O'meara | 37 Hawthorne Drive, Monroe, CT 06468 | Certified Public Accountant Firm Permit | 2019-01-01 ~ 2019-12-31 |
| Susanne Casciano · Susanne Casciano Painting | 103 Boston Tpke, Eastford, CT 06242 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Susanne Harris | 1700 Little, Guilford, CT 06437 | Physician Assistant | 2007-11-15 ~ 2009-01-31 |
| Susanne Dk Smith | 622 Millers Way, Simsbury, CT 06070 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
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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).