SUSY T ABRAHAM MD (Credential# 546789) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 25, 2005. The license expiration date date is April 30, 2006. The license status is INACTIVE.
SUSY T ABRAHAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027808. The credential type is physician/surgeon. The effective date is April 25, 2005. The expiration date is April 30, 2006. The business address is 100 Briar Brae Rd, Stamford, CT 06903. The current status is inactive.
| Licensee Name | SUSY T ABRAHAM MD |
| Credential ID | 546789 |
| Credential Number | 1.027808 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Briar Brae Rd Stamford CT 06903 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1986-12-05 |
| Effective Date | 2005-04-25 |
| Expiration Date | 2006-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 317399 | CSP.0032490 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 100 BRIAR BRAE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06903 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jay T Abraham | 100 Briar Brae Rd, Stamford, CT 06903 | Engineer-in-training | 2005-11-15 ~ 2015-11-15 |
| Global Indian Diaspora Foundation Inc | 100 Briar Brae Rd, Stamford, CT 06903-1722 | Public Charity-exempt From Financial Requirements | 2018-07-25 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Irizarry · Irizarry Masonry | 140 Red Fox Rd, Stamford, CT 06903 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Byongran Min | 60 Larkspur Rd, Stamford, CT 06903 | Nail Technician | ~ |
| Mark D Creedon | 155 Woodchuck Rd, Stamford, CT 06903 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ellyn Shander Md | 1933 Long Ridge Rd, Stamford, CT 06903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Genna L Meier | 340 Webbs Hill Road, Stamford, CT 06903 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Elizabeth A Porcheddu | 367 Briar Brae Road, Stamford, CT 06903 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Sarah Elizabeth Woxholdt | 65 Cousins Rd, Stamford, CT 06903 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cynthia L Castronovo-morabito · Lovallo/cameron | 37 Gutzon Borglum Rd, Stamford, CT 06903 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Michele1 Sukatski | 61 Shady Ln, Stamford, CT 06903 | Medication Administration Certification | ~ |
| Joan M Bellantoni | 239 Fishing Trail, Stamford, CT 06903 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06903 | |||
| City | STAMFORD |
| Zip Code | 06903 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abraham Tzadik | Farmington, CT 06032 | Physician/surgeon | 1982-11-22 ~ 1987-11-30 |
| Ami Abraham Do | 5 Tudor Rd, Hicksville, NY 11801-5326 | Physician/surgeon | 2015-01-01 ~ 2015-12-31 |
| Nitya Abraham | 1 Strawberry Hill Ave Apt 2f, Stamford, CT 06902 | Physician/surgeon | ~ |
| Abraham Tzou | 713 Swarthmore Dr, Newark, DE 19711 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Zef A Abraham | 47 London Terrace, New Rochelle, NY 10804 | Physician/surgeon | 1992-05-27 ~ 1993-05-31 |
| Abraham I Levine | 26 Wilson Ave, Rowayton, CT 06853 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Bassem O Abraham | 725 Ferris Way, Hershey, PA 17033 | Physician/surgeon | 2006-02-23 ~ 2007-02-28 |
| Abraham Knoll | 160 West St Bldg 1, Cromwell, CT 06416-2441 | Physician/surgeon | ~ |
| Stephen Abraham | 43-30 46th Street, Sunnyside, NY 11104 | Physician/surgeon | ~ |
| Abraham J Khorasani | 25 Scarlet Lane, Windsor, CT 06095 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on SUSY T ABRAHAM 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).