SUSANNAH HILLS (Credential# 1245377) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
SUSANNAH HILLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053616. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 35 Crown St # A, New Haven, CT 06510-3322. The current status is inactive.
| Licensee Name | SUSANNAH HILLS |
| Credential ID | 1245377 |
| Credential Number | 1.053616 |
| Credential Type | Physician/Surgeon |
| Business Address |
35 Crown St # A New Haven CT 06510-3322 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-10-22 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1252268 | CSP.0058935 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-10-29 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 35 CROWN ST # A |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3322 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas M Lloyd · Bar At Firehouse 12 (the) | 45 Crown St, New Haven, CT 06510-3322 | Cafe Liquor | 2019-09-17 ~ 2021-01-16 |
| Thomas J Sincavage Jr · Skappo | 59 Crown St, New Haven, CT 06510-3322 | Restaurant Wine & Beer | 2019-05-12 ~ 2020-09-11 |
| Jig Design Build Lle | 35 Crown St, New Haven, CT 06510-3322 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susannah M Bernheim Md | 175 Linden St, New Haven, CT 06511-2407 | Physician/surgeon | 2020-02-06 ~ 2020-08-31 |
| Jeffrey Arthur Brown | 212 Old Short Hills Road, Short Hills, NJ 07078 | Physician/surgeon | 1976-01-02 ~ 1988-06-30 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Tia Rounds | 29 Hills Ln, Hebron, CT 06248 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joshua Ewell | 16 Ingold Dr, Dix Hills, NY 11746-7804 | Physician/surgeon | 2020-03-10 ~ 2020-09-30 |
| Andrei Klein | 180 Haines Rd, Bedford Hills, NY 10507-1213 | Physician/surgeon | ~ |
| Stuart W Landau | 2 Notch Ct, Dix Hills, NY 11746 | Physician/surgeon | 1993-07-23 ~ 1994-09-30 |
| Richard E Del Nunzio | 43 Exeter St, Forest Hills, NY 11375-5146 | Physician/surgeon | ~ |
| Seon Kyu Lee | 38 Rolling Hills Ln, Harrison, NY 10528-1712 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Waiho Lum Md | 9907 70 Ave, Forest Hills, NY 11375 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Please comment or provide details below to improve the information on SUSANNAH HILLS.
| 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).