SUSAN PHILIPOSE (Credential# 1382779) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SUSAN PHILIPOSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056004. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4535 Dressler Rd Nw, Canton, OH 44646. The current status is active.
| Licensee Name | SUSAN PHILIPOSE |
| Credential ID | 1382779 |
| Credential Number | 1.056004 |
| Credential Type | Physician/Surgeon |
| Business Address |
4535 Dressler Rd Nw Canton OH 44646 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-14 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1382922 | CSP.0064162 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4535 Dressler Rd NW |
| City | Canton |
| State | OH |
| Zip Code | 44646 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Skobel | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard L Maenza | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mamie Caton | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Raymundo Forcada-lowrie | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael Yeh | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shehma Khan | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren Sokolik | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joshua Colvin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
| Daniel Engelberg | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-12-10 ~ 2021-02-28 |
| Monique C Cunin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine Chalfant | 1201 Valerie Ave Nw, Massillon, OH 44646 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph Tyler Kroll | 7603 Daytona St. N.w., Massillon, OH 44646 | Registered Nurse | 2020-03-06 ~ 2020-11-30 |
| Lilian Alice Kerr | 4988 Highsaddle Ave. Nw, Massillon, OH 44646 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Matthews Veterinary Pharmacy | 2870 Richville Drive Se, Massillon, OH 44646 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Brian E Zolla · Brian Zolla Electrical Services LLC | 4434 Ranier Ave Nw, Massillon, OH 44646 | Electrical Unlimited Contractor | 2008-10-01 ~ 2009-09-30 |
| Jennifer J Weisenberger | 8923 Ontario St Nw, Massillon, OH 44646-1657 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Susan K Leguire | 1339 Lennox Ave Ne, Massillon, OH 44646-4147 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth Anne Bailey | 387 Shaw Ave Ne, Massillon, OH 44646-4353 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Roger H Wacker Ll | 1020 Medill Ave Ne, Massillon, OH 44646-4425 | Hairdresser/cosmetician | 2011-10-07 ~ 2013-04-30 |
| R.j. Matthews Co | 2780 Richville Dr Se, Massillon, OH 44646-8396 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 44646 | |||
| City | Canton |
| Zip Code | 44646 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Canton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 T Lubin | 58 Franklin Ave, Rye, NY 10580-2545 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Susan D Dibs | 14 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2006-04-13 ~ 2007-05-31 |
| Susan Seo | 550 1st Avenue, New York, NY 10025 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Susan E Taft | 41 Coddington Way, Wakefield, RI 02879 | Physician/surgeon | 2008-04-01 ~ 2009-04-30 |
| Susan Collemer | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Susan J Freeman | 40 North Way, Chappaqua, NY 10514 | Physician/surgeon | 2007-01-18 ~ 2008-03-31 |
| Susan Bowers Md | 47 Bellevue Rd, New Haven, CT 06511 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Susan E Lasky | 126 Morgan St, Stamford, CT 06905 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on SUSAN PHILIPOSE.
| 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).