SUSAN ADEIFE-LEE (Credential# 556537) 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 APPROVED.
SUSAN ADEIFE-LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038949. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1301 Farmington Ave, Bristol, CT 06010-3920. The current status is approved.
| Licensee Name | SUSAN ADEIFE-LEE |
| Credential ID | 556537 |
| Credential Number | 1.038949 |
| Credential Type | Physician/Surgeon |
| Business Address |
1301 Farmington Ave Bristol CT 06010-3920 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2000-08-16 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 243342 | CSP.0030092 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-09-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1301 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-3920 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas Perry Md | 780 Farmington Ave, Bristol, CT 06010-3920 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRISTOL |
| 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 T Lubin | 58 Franklin Ave, Rye, NY 10580-2545 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| 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 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 Mcnamara | 545 Main St., Middlefield, CT 06455 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| 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 ADEIFE-LEE.
| 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).