GILLIAN VIMBAI KUPAKUWANA-SUK (Credential# 1362026) 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 INACTIVE.
GILLIAN VIMBAI KUPAKUWANA-SUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063251. 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 179 Bayard Ave, North Haven, CT 06473. The current status is inactive.
| Licensee Name | GILLIAN VIMBAI KUPAKUWANA-SUK |
| Credential ID | 1362026 |
| Credential Number | CSP.0063251 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
179 Bayard Ave North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-06-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491833 | 1.059568-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 179 BAYARD AVE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gillian Weston | 16 Ironwood Rd, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gillian Brooke Striano-kaplan | 93 Somerset Dr, Suffern, NY 10901-6905 | Controlled Substance Registration for Practitioner | 2017-08-21 ~ 2019-02-28 |
| Gillian Gaudioso | 7 Sagamore Ln Unit 306, Rocky Hill, CT 06067-3842 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gillian Draper Ralls Pa | 54 Water Lily Ln, Guilford, CT 06437-1231 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gillian Angliss Glaser | 11 Willow Street, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2017-03-10 ~ 2019-02-28 |
| Gillian Wolff | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Goose Island Gillian | Ct Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-08-21 ~ 2019-08-19 |
| Gillian's Foods Inc | 45 Congress St Bldg 160, Salem, MA 01970-5579 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Vimbai Yvonne S Muzamhindo | 5225 Pinewood Dr, Mckinney, TX 75071-8388 | Registered Nurse | 2015-06-01 ~ 2016-05-31 |
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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).