SUSAN M BALEZENTIS DO (Credential# 442645) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
SUSAN M BALEZENTIS DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039408. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 356 Nash Rd, North Salem, NY 10560. The current status is inactive.
| Licensee Name | SUSAN M BALEZENTIS DO |
| Credential ID | 442645 |
| Credential Number | CSP.0039408 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
356 Nash Rd North Salem NY 10560 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-06-30 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| Street Address | 356 NASH RD |
| City | NORTH SALEM |
| State | NY |
| Zip Code | 10560 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sofiya Greenberg | 27 Cat Ridge Road, North Salem, NY 10560 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jasmine Hilary Wickham | 28 Cotswold Drive, North Salem, NY 10560 | Advanced Practice Registered Nurse | ~ |
| Prestige Oil Inc | 7 Sun Valley Heights Rd, North Salem, NY 10560 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Catherine Gaboury | 90 Rodeo Drive, No Salem, NY 10560 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Anne-marie Nordgren | 1 Norton Rd., North Salem, NY 10560 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hilarie S Siles | 1 Cotswold Dr, N Salem, NY 10560 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Nancy Falls-aronchick | 672 Titicus Road, North Salem, NY 10560 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Robert M Hendler | 14 Cotswold Drive, North Salem, NY 10560 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Basil Holubis | Post Road, North Salem, NY 10560 | Electrical Unlimited Journeyperson | 2020-04-23 ~ 2020-09-30 |
| Alexis T Kearney | 3 Livery Lane, North Salem, NY 10560 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10560 | |||
| City | NORTH SALEM |
| Zip Code | 10560 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M Balezentis | 356 Nash Rd., North Salem, NY 10560 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Susan B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kartik K Viswanathan Md | 7 Susan Ter, Waterford, CT 06385-3515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Chi Md | 421 Whitney Avenue, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Susan M Attmore | 2 The Mews, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Chmael | 265 Stafford Rd, Somers, CT 06071-1238 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Rancis Pa | 5 Raphael Way, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Please comment or provide details below to improve the information on SUSAN M BALEZENTIS DO.
| 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).