SUSAN M BALEZENTIS (Credential# 561727) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2013. The license expiration date date is December 31, 2013. The license status is INACTIVE.
SUSAN M BALEZENTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044145-DO. The credential type is physician/surgeon. The effective date is January 1, 2013. The expiration date is December 31, 2013. The business address is 356 Nash Rd., North Salem, NY 10560. The current status is inactive.
| Licensee Name | SUSAN M BALEZENTIS |
| Credential ID | 561727 |
| Credential Number | 1.044145-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
356 Nash Rd. North Salem NY 10560 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-03-10 |
| Effective Date | 2013-01-01 |
| Expiration Date | 2013-12-31 |
| Refresh Date | 2014-04-09 |
| Street Address | 356 Nash Rd. |
| City | North Salem |
| State | NY |
| Zip Code | 10560 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sofiya Greenberg | 27 Cat Ridge Road, North Salem, NY 10560 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jasmine Hilary Wickham | 28 Cotswold Drive, North Salem, NY 10560 | Advanced Practice Registered Nurse | ~ |
| Prestige Oil Inc | 7 Sun Valley Heights Rd, North Salem, NY 10560 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Catherine Gaboury | 90 Rodeo Drive, No Salem, NY 10560 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Anne-marie Nordgren | 1 Norton Rd., North Salem, NY 10560 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hilarie S Siles | 1 Cotswold Dr, N Salem, NY 10560 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Nancy Falls-aronchick | 672 Titicus Road, North Salem, NY 10560 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Robert M Hendler | 14 Cotswold Drive, North Salem, NY 10560 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Basil Holubis | Post Road, North Salem, NY 10560 | Electrical Unlimited Journeyperson | 2020-04-23 ~ 2020-09-30 |
| Alexis T Kearney | 3 Livery Lane, North Salem, NY 10560 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10560 | |||
| City | North Salem |
| Zip Code | 10560 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + North Salem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M Balezentis Do | 356 Nash Rd, North Salem, NY 10560 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| 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 Seo | 550 1st Avenue, New York, NY 10025 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Susan D Dibs | 14 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2006-04-13 ~ 2007-05-31 |
| Susan T Lubin | 58 Franklin Ave, Rye, NY 10580-2545 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Susan A Healey Md | 58 Housatonic Dr, Milford, CT 06460-5034 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Susan Mani Md | 111 Osborne St Ste 131, Danbury, CT 06810-6019 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Susan W Arvan | 3 Murthas Way, Granby, CT 06035 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan P Sherkow | 9 E 93rd St, New York, NY 10128-0666 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).