SUSAN M STORCK APRN (Credential# 953657) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SUSAN M STORCK APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048984. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 12 Shelter Rock Rd, Trumbull, CT 06611-3325. The current status is active.
| Licensee Name | SUSAN M STORCK APRN |
| Credential ID | 953657 |
| Credential Number | CSP.0048984 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 Shelter Rock Rd Trumbull CT 06611-3325 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-10-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 607392 | 10.E35810 | Registered Nurse | 1974-05-06 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 948275 | 12.004505 | Advanced Practice Registered Nurse | 2010-10-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 12 SHELTER ROCK RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3325 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth A Thompson | 44 Shelter Rock Rd, Trumbull, CT 06611-3325 | Professional Counselor | 2020-01-01 ~ 2020-12-31 |
| Feroza Mcandrew Pa | 44 Shelter Rock Rd, Trumbull, CT 06611-3325 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M Travis Aprn | 226 5th St, Verplank, NY 10596-0806 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan Macarthur Aprn | Rr 1 Box 261-a, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Susan A Flannigan Aprn | 16 Tuxis Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan M Kamovitch Aprn | 206 South St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan A Distasio Aprn | 200 Kennedy Dr, Torrington, CT 06790-3096 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan M Thibeault Aprn | 20 York St # Ep-3-608, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Denisco Aprn | 16 Trefoil Rd, Oxford, CT 06478 | Controlled Substance Registration for Practitioner | 2019-03-09 ~ 2021-02-28 |
| Susan W Parr Aprn | 66 Forest St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1995-01-18 ~ 1996-12-01 |
| Susan Grace Aprn | 39 Farmstead Lane, Coventry, CT 06238 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan R Rauckman Aprn | 5409 Overseas Hwy, Marathon, FL 33050 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-03-11 |
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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).