EDWARD J SULICK MD (Credential# 539204) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 19, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.
EDWARD J SULICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008560. The credential type is physician/surgeon. The effective date is April 19, 2005. The expiration date is June 30, 2006. The business address is 64 Hillcrest Road, Manchester, CT 06040. The current status is inactive.
| Licensee Name | EDWARD J SULICK MD |
| Business Name | WOMENS HEALTH GROUP OF MANCHESTER |
| Credential ID | 539204 |
| Credential Number | 1.008560 |
| Credential Type | Physician/Surgeon |
| Business Address |
64 Hillcrest Road Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1957-07-22 |
| Effective Date | 2005-04-19 |
| Expiration Date | 2006-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 146994 | CSP.0001663 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 64 HILLCREST ROAD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Teva Womens Health Inc. | 5040 Duramed Drive, Cincinnati, OH 45213 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| American Foundation for Womens Health · Stopafib.org | 1392 County Road 2740, Decatur, TX 76234-7458 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Womens Spa | 2884 Main St, Stratford, CT 06497 | Health Club | 1996-10-01 ~ 1997-09-30 |
| Richard E Winter | Exec Health Group, New York, NY 10017 | Physician/surgeon | 1998-12-04 ~ 2000-01-31 |
| Sheehan Health Group, LLC | 26 Harvard St, Worcester, MA 01609-2833 | Nursing Home Management Company | 2019-01-01 ~ 2020-12-31 |
| Association of Womens Health Obstetric and Neonatal Nurses | 1800 M St Nw Ste 740, Washington, DC 20036-5802 | Public Charity | 2020-01-08 ~ 2020-11-30 |
| Gfwc Manchester Ct Womens Club | 17 Cumberland St, Manchester, CT 06042-1907 | Public Charity-exempt From Financial Requirements | 2018-02-21 ~ |
| West Hartford Womens Choral Group | 831 Prospect Avenue, West Hartford, CT 06105 | Public Charity-exempt From Financial Requirements | ~ |
| Ann H Williams | Stamford Health Medical Group, Primary Care, Stamford, CT 06902 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chin Do | 245 Edward J Roy Dr Apt 104, Manchester, NH 03104 | Physician/surgeon | 2004-03-12 ~ 2005-03-31 |
Please comment or provide details below to improve the information on EDWARD J SULICK MD.
| 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).