SUSANNA DAHL CRONMILLER (Credential# 1654127) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SUSANNA DAHL CRONMILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070767. The credential type is controlled substance registration for practitioner. The effective date is May 6, 2019. The expiration date is February 28, 2021. The business address is 537 Cascade Dr, Fairfield, CT 06825-2300. The current status is active.
| Licensee Name | SUSANNA DAHL CRONMILLER |
| Credential ID | 1654127 |
| Credential Number | CSP.0070767 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
537 Cascade Dr Fairfield CT 06825-2300 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-06 |
| Effective Date | 2019-05-06 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1418311 | 12.007034 | Advanced Practice Registered Nurse | 2017-05-16 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1418310 | 10.142209 | Registered Nurse | 2017-05-16 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1453107 | CSP.0066868 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-09-28 | 2017-09-28 - 2019-02-28 | LAPSED |
| Street Address | 537 CASCADE DR |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-2300 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Indumathi Dhakshinamurthy | 571 Cascade Dr, Fairfield, CT 06825-2300 | Emergency Medical Technician | 2020-07-01 ~ 2022-06-30 |
| Jaime L Bernstein | 593 Cascade Dr, Fairfield, CT 06825-2300 | Emergency Medical Technician | 2012-05-30 ~ 2015-04-01 |
| Patrick R Smith | 555 Cascade Dr, Fairfield, CT 06825-2300 | Emergency Medical Technician | 2010-05-10 ~ 2012-10-01 |
| Pratibha Dhakshinamurthy | 571 Cascade Dr, Fairfield, CT 06825-2300 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susanna A Curtis | 4 S Main St Apt 205, Norwalk, CT 06854-2954 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dan Dahl | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Susanna Vaystub Od | 4701 Fieldston Rd, Riverdale, NY 10471 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Norman F Dahl IIi IIi | 904 W. Main Street, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susanna K Jacob | 23018 88th Ave, Queens Village, NY 11427-2623 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dahl Oil Co | 410 Bank St, New London, CT | Home Improvement Contractor | ~ 1995-06-01 |
| Sue M Dahl Popolizio · Dahl | 6769 W. Rowel Rd., Peoria, AZ 85382 | Occupational Therapist | 1999-05-26 ~ 2001-07-31 |
| Dahl | 410 Bank St, New London, CT 06320-5540 | Home Heating Fuel Dealer | 2019-10-01 ~ 2020-09-30 |
| Dahl Oil · Heating Oil Partners Lp | 340 West Thames St, Norwich, CT 06360 | Operator of Weighing & Measuring Devices | 2000-08-16 ~ 2001-07-31 |
| 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 |
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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).