SUJA ABRAHAM (Credential# 1148869) 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.
SUJA ABRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051897. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 288 Spring Road, North Haven, CT 06473-6100. The current status is active.
| Licensee Name | SUJA ABRAHAM |
| Credential ID | 1148869 |
| Credential Number | 1.051897 |
| Credential Type | Physician/Surgeon |
| Business Address |
288 Spring Road North Haven CT 06473-6100 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-05-17 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1166597 | CSP.0054785 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 288 Spring Road |
| City | North Haven |
| State | CT |
| Zip Code | 06473-6100 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Pasquariello | 288 Spring Road, North Haven, CT 06473 | Notary Public Appointment | 2013-10-31 ~ 2018-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Le Quynh Vo Md | 1298 Hartford Tpke Apt 8h, North Haven, CT 06473-6100 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suja Georgie | 97 A Summit Street, Derby, CT 06418 | Physician/surgeon | 2007-03-16 ~ 2008-05-31 |
| Suja J Nair | 1317 East Street, New Britain, CT 06053 | Physician/surgeon | 2002-09-26 ~ 2003-09-30 |
| Abraham Tzadik | Farmington, CT 06032 | Physician/surgeon | 1982-11-22 ~ 1987-11-30 |
| Ami Abraham Do | 5 Tudor Rd, Hicksville, NY 11801-5326 | Physician/surgeon | 2015-01-01 ~ 2015-12-31 |
| Nitya Abraham | 1 Strawberry Hill Ave Apt 2f, Stamford, CT 06902 | Physician/surgeon | ~ |
| Abraham I Levine | 26 Wilson Ave, Rowayton, CT 06853 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Stephen Abraham | 43-30 46th Street, Sunnyside, NY 11104 | Physician/surgeon | ~ |
| Abraham Knoll | 160 West St Bldg 1, Cromwell, CT 06416-2441 | Physician/surgeon | ~ |
| Bassem O Abraham | 725 Ferris Way, Hershey, PA 17033 | Physician/surgeon | 2006-02-23 ~ 2007-02-28 |
| Abraham Tzou | 713 Swarthmore Dr, Newark, DE 19711 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).