SUSAN M THIBEAULT APRN (Credential# 410299) 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 M THIBEAULT APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037784. 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 20 York St # Ep-3-608, New Haven, CT 06510-3220. The current status is active.
| Licensee Name | SUSAN M THIBEAULT APRN |
| Credential ID | 410299 |
| Credential Number | CSP.0037784 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 York St # Ep-3-608 New Haven CT 06510-3220 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-07-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 879857 | 72.001650 | Paramedic | 2002-03-04 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 656737 | 10.R56996 | Registered Nurse | 1999-06-18 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 681390 | 12.003212 | Advanced Practice Registered Nurse | 2005-03-17 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 874252 | 71.000256 | Advanced Emergency Medical Technician | 2001-09-24 | 2001-09-24 - 2003-06-30 | INACTIVE |
| 864163 | 70.930121 | Emergency Medical Technician | 1992-12-14 | - 2002-03-31 | INACTIVE |
| Street Address | 20 YORK ST # EP-3-608 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charu Singh | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Abhijeet Gummadavelli | 20 York St Lci 8, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kelly Mcginnis Hager | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Raymond A Jean | 20 York St Tompkins 209, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jenny Yang | 20 York St Tompkins 2 Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mark Archer Eckardt | 20 York St. Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Adrienne Brooke Mejia | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Lamia Y Haque | 20 York St Tmp 209, New Haven, CT 06510-3220 | Resident Physician | 2016-08-22 ~ 2021-06-30 |
| Melissa A Gibson | 20 York St Lmp 1072, New Haven, CT 06510-3220 | Resident Physician | 2016-06-30 ~ 2021-06-30 |
| Dennis L Shung | 20 York St Tomkins 209, New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06510-3220 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Macarthur Aprn | Rr 1 Box 261-a, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Susan M Travis Aprn | 226 5th St, Verplank, NY 10596-0806 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan A Flannigan Aprn | 16 Tuxis Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Denisco Aprn | 16 Trefoil Rd, Oxford, CT 06478 | Controlled Substance Registration for Practitioner | 2019-03-09 ~ 2021-02-28 |
| Susan A Distasio Aprn | 200 Kennedy Dr, Torrington, CT 06790-3096 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan M Kamovitch Aprn | 206 South St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan W Parr Aprn | 66 Forest St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1995-01-18 ~ 1996-12-01 |
| Susan M Brown Aprn | 80 Frances Court, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-06-06 ~ 2021-02-28 |
| Susan M Michos Aprn | 54 Aspetuck Village, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan Grace Aprn | 39 Farmstead Lane, Coventry, CT 06238 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SUSAN M THIBEAULT APRN.
| 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).