SUSAN B LANDRY (Credential# 1244352) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
SUSAN B LANDRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053861-DO. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 129 Dover Rd, Longmeadow, MA 01106-1205. The current status is active.
Licensee Name | SUSAN B LANDRY |
Credential ID | 1244352 |
Credential Number | 1.053861-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
129 Dover Rd Longmeadow MA 01106-1205 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-02-25 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1411230 | CSP.0064981 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 129 DOVER RD |
City | LONGMEADOW |
State | MA |
Zip Code | 01106-1205 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Heap | 25 Dover Rd, Longmeadow, MA 01106-1205 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Loni M Kearney | 109 Dover Rd, Longmeadow, MA 01106-1205 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James K Nurse | 115 Dover Rd, Longmeadow, MA 01106-1205 | Home Improvement Contractor | 2011-06-21 ~ 2011-11-30 |
Barbara K Seabury · Hillshire House Inc | 25 Dover Rd, Longmeadow, MA 01106-1205 | Real Estate Salesperson | 2010-06-01 ~ 2011-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01106 |
City | LONGMEADOW |
Zip Code | 01106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LONGMEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Arthur B Landry IIi | 134 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Marie L Landry | Ynhh, Dept. Laboratory Medicine, New Haven, CT 06510 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
James A Landry · Landry Builders | 82 Synagogue Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Beatrick Landry · B Landry General Framing | 219 E Hampton Rd, Marlborough, CT 06447-1407 | Home Improvement Contractor | ~ 1995-03-01 |
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 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 Seo | 550 1st Avenue, New York, NY 10025 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Susan Landry | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2001-12-31 ~ 2003-12-30 |
Please comment or provide details below to improve the information on SUSAN B LANDRY.
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).