KENNETH M SUSSMAN MD (Credential# 559681) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 31, 2005. The license expiration date date is July 31, 2006. The license status is INACTIVE.
KENNETH M SUSSMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042099. The credential type is physician/surgeon. The effective date is May 31, 2005. The expiration date is July 31, 2006. The business address is 768 Glen Valley Way, Dacula, GA 30019. The current status is inactive.
| Licensee Name | KENNETH M SUSSMAN MD |
| Credential ID | 559681 |
| Credential Number | 1.042099 |
| Credential Type | Physician/Surgeon |
| Business Address |
768 Glen Valley Way Dacula GA 30019 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-01-20 |
| Effective Date | 2005-05-31 |
| Expiration Date | 2006-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 362775 | CSP.0034563 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 768 GLEN VALLEY WAY |
| City | DACULA |
| State | GA |
| Zip Code | 30019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charlene Shantel Chippy | 3069 Heritage Oaks Circle, Dacula, GA 30019 | Registered Nurse | ~ |
| Sybil Noel | 67 Morgan St, Eastchester, NY 30019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tajuanna N Carter-brock | 2389 Austin Common Way, Dacula, GA 30019 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Karrisah Ramadan Flythe | 2505 Alexa Chase Cove, Dacula, GA 30019 | Registered Nurse | 2020-01-13 ~ 2020-11-30 |
| Konstantinos Psarros | 1695 Riverpark Drive, Dacula, GA 30019 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Fast Start Real Estate Services LLC | 2505 Dacula Ridge Dr, Dacula, GA 30019 | Real Estate Broker | 2013-04-08 ~ 2014-03-31 |
| Rukayat Toyin Hardeman | 3221 Planters Drive, Dacula, GA 30019 | Registered Nurse | 2016-07-01 ~ 2017-07-31 |
| Nicholas E Lindsley | 340 Circle Road, Dacula, GA 30019 | Electrical Unlimited Journeyperson | 2015-10-01 ~ 2016-09-30 |
| Althea Smalling | 505 Lakota Trace, Dacula, GA 30019 | Registered Nurse | 2014-06-02 ~ 2015-06-30 |
| Adassa Haughton | 2683 Austin Ridge Dr., Dacula, GA 30019 | Hairdresser/cosmetician | 2012-10-01 ~ 2014-09-30 |
| Find all Licenses in zip 30019 | |||
| City | DACULA |
| Zip Code | 30019 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DACULA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
| John D Sussman | 200 S Broadway, Tarrytown, NY 10591 | Physician/surgeon | 1993-05-25 ~ 1994-07-31 |
| Jeffrey Sussman | 299 Carew St, Springfield, MA 01104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Arlene Sussman | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel L Sussman | 241 West 23rd Street #7a, New York, NY 10011 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Louis Scott Sussman Md | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Liberfarb & Sussman, Cpa | 11 Vanderbilt Avenue, Norwood, MA 02062 | Certified Public Accountant Firm Permit | 2003-01-01 ~ 2003-12-31 |
| Schaffman, Sussman & Co. | 67 Prospect Avenue Suite 201, West Hartford, CT 06106 | Certified Public Accountant Firm Permit | 1990-01-30 ~ 1990-12-31 |
| Schaffman, Sussman & Glick, Cpa's | 67 Prospect Avenue, West Hartford, CT 06106 | Certified Public Accountant Firm Permit | 1997-01-01 ~ 1997-12-31 |
| Kenneth R Berv | Po Box 5, New Canaan, CT 06840-0005 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).