EVELYN J CUSACK MD (Credential# 559580) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
EVELYN J CUSACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041998. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 39 Ridge Rd, Weston, CT 06883. The current status is active.
| Licensee Name | EVELYN J CUSACK MD |
| Credential ID | 559580 |
| Credential Number | 1.041998 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Ridge Rd Weston CT 06883 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-11-19 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 362806 | CSP.0034568 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 39 RIDGE RD |
| City | WESTON |
| State | CT |
| Zip Code | 06883 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith A Landesman Md | 39 Ridge Rd, Weston, CT 06883 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06883 | |||
| City | WESTON |
| Zip Code | 06883 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William E Cusack Jr | P.o. Box 933, Durham, NH 03824-0933 | Physician/surgeon | 2007-08-01 ~ 2008-06-30 |
| John P Cusack Jr · John Cusack & Co | 31 Pond Crest Rd, Danbury, CT 06811 | Home Improvement Contractor | 2011-05-18 ~ 2011-11-30 |
| Evelyn S Tan | 350 Timrod Rd, Manchester, CT 06040 | Physician/surgeon | 2002-10-30 ~ 2003-12-31 |
| Evelyn F Smith | 704 Hebron Ave., Glastonbury, CT 06033 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Evelyn A Villa Md | 61 Pleasantview, Suffield, CT 06078 | Physician/surgeon | 2000-12-01 ~ 2001-12-31 |
| Evelyn Stephens | 12 Old Hill Farms Rd, Westport, CT 06880-3034 | Physician/surgeon | 2020-06-18 ~ 2020-12-31 |
| Lucy Evelyn Wojcicki | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ameera J Ali | 825 East Evelyn Avenue, Sunnyvale, NY 94086 | Physician/surgeon | 2007-08-09 ~ 2008-08-31 |
| Evelyn R Hessing | 18 Grenhart St, West Hartford, CT 06117 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Evelyn M Placek | 7 Riversville Road, Greenwich, CT 06831 | Physician/surgeon | 2008-07-15 ~ 2009-05-31 |
Please comment or provide details below to improve the information on EVELYN J CUSACK 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).