MARYSUSAN F HUNGERFORD APRN (Credential# 470315) 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.
MARYSUSAN F HUNGERFORD APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041471. 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 1741 Main St, Stratford, CT 06615-6556. The current status is active.
| Licensee Name | MARYSUSAN F HUNGERFORD APRN |
| Credential ID | 470315 |
| Credential Number | CSP.0041471 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1741 Main St Stratford CT 06615-6556 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-05-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 613026 | 10.E42847 | Registered Nurse | 1990-02-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 681784 | 12.003606 | Advanced Practice Registered Nurse | 2007-04-12 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 1741 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-6556 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert A Staak | 1721 Main St, Stratford, CT 06615-6556 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarath Koun | 323 Bruce Ave, Stratford, CT 06615 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Constance Trenske | 50 Birdseye Street, #105a, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jennifer Massey | 187 Third Ave, Stratford, CT 06615 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Regina M Golden | 295 2nd Ave, Stratford, CT 06615 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Susan R Leventhal | 265 Second Ave, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Danielle M Donfrancesco | 90 Sands Pl, Stratford, CT 06615 | Esthetician | ~ |
| James A Phillips | 735 Broad Street, Stratford, CT 06615 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Debra J Cennamo | 155 Short Beach Rd, Stratford, CT 06615 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Melissa Andrea Escobar-avilez | [email protected], Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Stephanie Gabon | 1168 Main Street, C6, Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06615 | |||
| City | STRATFORD |
| Zip Code | 06615 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hungerford Emergency & Medical Care | 115 Spencer St, Winsted, CT 06098-1140 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abdul M Sheikh Md | Charlotte Hungerford Hospital, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul Phillips Md · Charlotte Hungerford Hospital | 540 Litchfield Street, Torrington, CT 06790-0988 | Controlled Substance Registration for Practitioner | 1994-11-29 ~ 1996-12-01 |
| Charlotte Hungerford Hospital | 540 Litchfield St, Torrington, CT 06790-6679 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Pamela M Gau Aprn | 25 Berndale Dr, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael P Riordan Aprn | Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Wenting Hou Aprn | 20 Henderson Dr., Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-05-05 ~ 2013-02-28 |
| Hao T Pham Aprn | 73 Meetinghouse Rdg, Meriden, CT 06450-7288 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MARYSUSAN F HUNGERFORD 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).