SUSAN M TRAVIS APRN (Credential# 527154) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
SUSAN M TRAVIS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045221. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 226 5th St, Verplank, NY 10596-0806. The current status is inactive.
Licensee Name | SUSAN M TRAVIS APRN |
Credential ID | 527154 |
Credential Number | CSP.0045221 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
226 5th St Verplank NY 10596-0806 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2009-03-12 |
Effective Date | 2011-03-01 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
682211 | 12.004033 | Advanced Practice Registered Nurse | 2009-02-19 | 2011-12-01 - 2012-11-30 | INACTIVE |
591923 | 10.087921 | Registered Nurse | 2009-02-05 | 2011-12-01 - 2012-11-30 | INACTIVE |
Street Address | 226 5TH ST |
City | VERPLANK |
State | NY |
Zip Code | 10596-0806 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Timothy Lyford | 276 Broadway, Verplanck, NY 10596 | Limited Sheet Metal Journeyperson | 2009-09-01 ~ 2010-08-31 |
Edward T Carter | 111 12th Street, Verplanck, NY 10596 | Emergency Medical Technician | ~ 1993-01-01 |
Marco J Sanchez | 2 Riverview Ave, Verplanck, NY 10596 | Tv & Radio Limited Dish Antenna Technician | 2007-10-31 ~ 2008-08-31 |
Robert M Kelleher | 49 Broadway, Verplanck, NY 10596 | Electrical Unlimited Journeyperson | 2003-10-01 ~ 2004-09-30 |
Richard A Pirez | 286 9# St, Verplanck, NY 10596 | Electrical Unlimited Journeyperson | ~ |
Mark Fanning | 88 14th St, Verplanck, NY 10596 | Electrical Unlimited Contractor | ~ |
John T Sicotakis | 95-15th St, Verplanck, NY 10596 | Electrical Limited Journeyperson | ~ |
John J Grady | 200 16th St, Vernplanck, NY 10596 | Electrical Unlimited Journeyperson | ~ |
Gary Dini | Box 223 193 5th St, Verplanck, NY 10596 | Heating, Piping & Cooling Limited Contractor | ~ |
Mark D Levy Horticultural Services LLC | Po Box 610, Verplanck, NY 10596 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 10596 |
City | VERPLANK |
Zip Code | 10596 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERPLANK |
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 W Parr Aprn | 66 Forest St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1995-01-18 ~ 1996-12-01 |
Susan M Thibeault Aprn | 20 York St # Ep-3-608, New Haven, CT 06510-3220 | 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 M Kamovitch Aprn | 206 South St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan A Flannigan Aprn | 16 Tuxis Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 Pozaic Aprn | 96 Brookline Street, Needham, MA 02492 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Susan M Storck Aprn | 12 Shelter Rock Rd, Trumbull, CT 06611-3325 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 |
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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).