SUSANNAH M BERNHEIM MD (Credential# 560672) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 6, 2020. The license expiration date date is August 31, 2020. The license status is ACTIVE.
SUSANNAH M BERNHEIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043090. The credential type is physician/surgeon. The effective date is February 6, 2020. The expiration date is August 31, 2020. The business address is 175 Linden St, New Haven, CT 06511-2407. The current status is active.
Licensee Name | SUSANNAH M BERNHEIM MD |
Credential ID | 560672 |
Credential Number | 1.043090 |
Credential Type | Physician/Surgeon |
Business Address |
175 Linden St New Haven CT 06511-2407 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-02-04 |
Effective Date | 2020-02-06 |
Expiration Date | 2020-08-31 |
Refresh Date | 2020-02-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
507725 | CSP.0043763 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-08 | 2015-07-23 - 2017-02-28 | INACTIVE |
Street Address | 175 LINDEN ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-2407 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jakes Moms Cookies | 185 Linden St, New Haven, CT 06511-2407 | Bakery | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susannah Hills | 35 Crown St # A, New Haven, CT 06510-3322 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Bernheim Original Wheat Whiskey | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-09-15 ~ 2021-09-13 |
Kenneth Bernheim | 38 Tierney Street, Norwalk, CT 06851 | Notary Public Appointment | 2004-04-14 ~ 2009-04-30 |
Gail Bernheim · William Pitt R E Ltd Partnership | 17 Fieldstone Lane, Stamford, CT 06902 | Real Estate Salesperson | ~ |
Mary J Bernheim Aprn | 6612 Snowy Range Drive, Colorado Springs, CO 80923 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Susannah K Adler · Pb Americas Inc | 1401 K St Nw, Washington, DC 20005-3418 | Architect | ~ |
Susannah Angelopoulos | 5 Wildwood Dr, Niantic, CT 06357-2826 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Susannah R Everett | 310 Gurleyville Road, Storrs, CT 06268 | Psychologist | 2019-09-01 ~ 2020-08-31 |
Susannah Lea Weinreb | 83 Forest St, Newton, MA 02461 | Emergency Medical Technician | ~ |
Susannah Luth | 5 Beacher Rd, Milford, CT 06460-7702 | Hairdresser/cosmetician | 2019-08-01 ~ 2021-07-31 |
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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).