SUSAN K HADLEY MD (Credential# 212843) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SUSAN K HADLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028020. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 132 Hunting Hill Avenue, Middletown, CT 06457. The current status is inactive.
| Licensee Name | SUSAN K HADLEY MD |
| Credential ID | 212843 |
| Credential Number | CSP.0028020 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
132 Hunting Hill Avenue Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-03-01 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555284 | 1.037694 | Physician/Surgeon | 1999-04-23 | 2009-04-28 - 2010-05-31 | INACTIVE |
| Street Address | 132 HUNTING HILL AVENUE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Peterson | 22 Hadley Village Road, South Hadley, MA 01075 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Julia W Bentley | 183 Bay Rd, Hadley, MA 01035-9793 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gretchen E Loebel Md | 31 Chmura Rd, Hadley, MA 01035 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Katherine B Lee | 7 Shadow Brook Est, South Hadley, MA 01075-2675 | Controlled Substance Registration for Practitioner | 2015-03-14 ~ 2017-02-28 |
| Kulsoom H Maudoodi | 5 Leblanc Dr, South Hadley, MA 01075-1797 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren A Perica Dpm | 81 Willimansett St, South Hadley, MA 01075-3000 | Controlled Substance Registration for Practitioner | 2020-01-14 ~ 2021-02-28 |
| Jonathan R Polgar Pa | 4 Walnut St, South Hadley, MA 01075 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jodi Ripka | 11 Pheasant Run, South Hadley, MA 01075 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christopher M Wolf | 12 Priestly Farms Rd, South Hadley, MA 01075-1048 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew G Moskovitz | 82 Woodbridge Street, South Hadley, MA 01075 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Please comment or provide details below to improve the information on SUSAN K HADLEY MD.
| 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).