SUSAN PARK MD (Credential# 415084) 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 PARK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038243. 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 1 Theall Rd, Rye, NY 10580. The current status is inactive.
| Licensee Name | SUSAN PARK MD |
| Credential ID | 415084 |
| Credential Number | CSP.0038243 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Theall Rd Rye NY 10580 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-08-31 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561270 | 1.043688 | Physician/Surgeon | 2005-07-29 | 2010-01-01 - 2010-12-31 | INACTIVE |
| Street Address | 1 THEALL RD |
| City | RYE |
| State | NY |
| Zip Code | 10580 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia B Close | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sara B Elias Md | 1 Theall Rd, Rye, NY 10580-1404 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| James J Doyle | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adora Fou Md | 1 Theall Rd, Rye, NY 10580-1404 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Amanda R Ganem Md | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Patricia T Calayag | 1 Theall Rd, Rye, NY 10580-1404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen F Carolan | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Seema K Sharma | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mandira D Gharekhan Md | 1 Theall Rd, Rye, NY 10580-1404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William A Martimucci Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Purjeena, Inc. | 6 Mount Holly Drive, Rye, NY 10580 | Securities - Exemptions | 2020-06-17 ~ |
| Emily C Gabeler Dds | 13 Pine Lane, Rye, NY 10580 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Frederick F Grippi | 350 Theodore Fremd Avenue, Rye, NY 10580 | Architect | 2020-08-01 ~ 2021-07-31 |
| Paul L Shainberg | 92 Midland Ave, Rye, NY 10580 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas J Roemmelt | 1036 Boston Post Rd., Rye, NY 10580 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Teresa Whiteside | P.o. Box 155, Rye, NY 10580 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| David E Gross | 10 Martin Rd, Rye, NY 10580 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sean S Jancski | 32 Elm Place, Rye, NY 10580 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Roxana Socec | 710 A Peck Avenue, Rye, NY 10580 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Lisa E Strawn | 184 Purchase Street, Rye, NY 10580 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 10580 | |||
| City | RYE |
| Zip Code | 10580 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RYE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan Blank Md | 3321 Park Ave, Fairfield, CT 06432 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Meyeon Park | 246 Park Street Apartment 23, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Michael Minchul Park | 226 Orchard Park, Allendale, NJ 07401-1746 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John J Khadem Md | 3003 New Hydg Park Suite 311, New Hyde Park, NY 11040 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura A Danis | 23 Susan Ter, Waterford, CT 06385-3515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Susan E Hardy Md | 904 1/2 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Susan A Kline | 561 Pequot Ave, Southport, CT 06890-1366 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).