SUSAN SAMUELS (Credential# 1612933) 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 ACTIVE.
SUSAN SAMUELS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069829. 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 89 Pilling St, Brooklyn, NY 11207-1608. The current status is active.
| Licensee Name | SUSAN SAMUELS |
| Credential ID | 1612933 |
| Credential Number | CSP.0069829 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
89 Pilling St Brooklyn NY 11207-1608 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1593199 | 10.154122 | Registered Nurse | 2018-10-15 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1607986 | 12.007945 | Advanced Practice Registered Nurse | 2018-11-05 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 89 PILLING ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207-1608 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Bueno | 1370 Bushwick Avenue 2a, Brooklyn, NY 11207 | Professional Engineer | 2020-04-21 ~ 2021-01-31 |
| Melisha Usher | 395 Snediker Ave, Brooklyn, NY 11207 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
| Ethel L Cooks | 243 Vermont Street, Brooklyn, NY 11207 | Master's Level Social Worker | 2020-01-01 ~ 2020-12-31 |
| Shu Ying Lin | 146 Highland Blvd #1, Brooklyn, NY 11207 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Crystal Chance | 465 Miller Ave, Brooklyn, NY 11207 | Registered Nurse | ~ |
| Zuie Glasgow | 187 Hendrix St Apt 2, Brooklyn, NY 11207 | Master's Level Social Worker | 2020-01-01 ~ 2020-12-31 |
| Cheryl Hescott | 974 Jerome Street, Brooklyn, NY 11207 | Licensed Practical Nurse | ~ |
| Joy Jegede | 43 Moffat Street, Brooklyn, NY 11207 | Licensed Clinical Social Worker | ~ |
| Doris M Taylor-aiken | 224 New Lots Ave., Brooklyn, NY 11207 | Master's Level Social Worker | 2017-07-01 ~ 2018-06-30 |
| Howard C Keller | 400 Cozine Ave Apt. 3f, Brooklyn, NY 11207 | Master's Level Social Worker | 2017-06-01 ~ 2018-05-31 |
| Find all Licenses in zip 11207 | |||
| City | BROOKLYN |
| Zip Code | 11207 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie L Samuels | 360 State St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth A Samuels | 250 Nicoll St Apt 2, New Haven, CT 06511-2626 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen Samuels | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patricia A Samuels | 90 Pine Ln, Windsor, CT 06095-3535 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Francine Samuels | 123 York St Apt 22s, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Norman Samuels | 88 Ryders Lane, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1993-02-10 ~ 1995-02-01 |
| Stephanie Lynn Samuels | 1 Park St # Wp2, New Haven, CT 06504-8901 | Controlled Substance Registration for Practitioner | 2019-08-06 ~ 2021-02-28 |
| Rebecca A Samuels | 263 Farmington Ave Mc1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| 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 |
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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).