SUSAN A KLINE (Credential# 145851) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
SUSAN A KLINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009854. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 561 Pequot Ave, Southport, CT 06890-1366. The current status is inactive.
| Licensee Name | SUSAN A KLINE |
| Credential ID | 145851 |
| Credential Number | CSP.0009854 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
561 Pequot Ave Southport CT 06890-1366 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541494 | 1.015470 | Physician/Surgeon | 1972-03-01 | 2013-07-01 - 2014-06-30 | INACTIVE |
| Street Address | 561 PEQUOT AVE |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890-1366 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trinity Parish Nursery School | 651 Pequot Ave, Southport, CT 06890-1366 | Child Care Center | 2017-12-01 ~ 2021-11-30 |
| Southport Spire Fund Inc | 651 Pequot Ave, Southport, CT 06890-1366 | Public Charity-exempt From Financial Requirements | 2016-03-17 ~ |
| Trinity Episcopal Church | 651 Pequot Ave, Southport, CT 06890-1366 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen K Kline | 12 School St, Hanover, NH 03755 | Controlled Substance Registration for Practitioner | 1994-04-15 ~ 1995-12-01 |
| Mathew D Kline | 212 Wooster St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Robert L Kline Dmd | 843 Middlesex Tpke, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Leanne E Kline Dvm | 136 Sand Rd, Falls Village, CT 06031 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Neil S Kline Do | 1935 Millersville Pike, Lancaster, PA 17603-6212 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Floyd Vmd | 26 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2001-04-04 ~ 2002-02-28 |
Please comment or provide details below to improve the information on SUSAN A KLINE.
| 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).