SUSANA L DIPP MD (Credential# 377969) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
SUSANA L DIPP MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035550. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 40 Prospect Street, Norwalk, CT 06850. The current status is inactive.
| Licensee Name | SUSANA L DIPP MD |
| Credential ID | 377969 |
| Credential Number | CSP.0035550 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Prospect Street Norwalk CT 06850 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-08-18 |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560077 | 1.042495 | Physician/Surgeon | 2004-06-01 | 2004-06-01 - 2005-06-30 | INACTIVE |
| Street Address | 40 PROSPECT STREET |
| City | NORWALK |
| State | CT |
| Zip Code | 06850 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gina K Porto | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Gaston Jeremiah | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2019-01-01 ~ 2019-12-31 |
| Tracey Renee Price | 40 Prospect Street, Norwalk, CT 06850 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Aditi Vyas | 40 Prospect Street, Norwalk, CT 06840 | Physician/surgeon | 2016-09-08 ~ 2017-08-31 |
| Lauren E Von Almen | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2008-11-03 ~ 2009-11-30 |
| Emily N Feldman | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2007-12-17 ~ 2009-01-31 |
| Ashley K Ready | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2007-06-22 ~ 2008-07-31 |
| Lyndee R Tucker | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2007-06-21 ~ 2008-04-30 |
| Zaw W Htwe | 40 Prospect Street, Norwalk, CT 06850 | Physician/surgeon | 2007-04-23 ~ 2008-02-29 |
| Vamsi P Guntur | 40 Prospect Street, Norwalk, CT 06850 | Physician/surgeon | 2007-01-22 ~ 2007-10-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susana Carino | 19 Blackberry Ln, Shelton, CT 06484-3774 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susana Moon Cho | 416 57th St Apt 3, Brooklyn, NY 11220-3407 | Controlled Substance Registration for Practitioner | 2011-03-03 ~ 2013-02-28 |
| Susana Herrick Dds | 622 Hebron Ave Ste 105, Glastonbury, CT 06033-5003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susana M Querido | 295 Central Park W, New York, NY 10024-3008 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marina's Clipp & Dipp Pet Salon | 539b W Main St, Cheshire, CT 06410-2422 | Grooming Facility | 2019-01-01 ~ 2020-12-31 |
| 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 |
| Susana M Miranda · Susana Mariana Miranda | 108-44 42nd Avenue, Corona, NY 11368 | Asbestos Abatement Worker | 2006-04-19 ~ 2006-10-31 |
| Susana Balbo Brioso | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2002-07-31 ~ 2005-07-30 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SUSANA L DIPP 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).