KEITH S SINUSAS (Credential# 547445) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEITH S SINUSAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028890. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 63 Wanda Drive, Higganum, CT 06441-4370. The current status is active.
| Licensee Name | KEITH S SINUSAS |
| Credential ID | 547445 |
| Credential Number | 1.028890 |
| Credential Type | Physician/Surgeon |
| Business Address |
63 Wanda Drive Higganum CT 06441-4370 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-03-11 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154823 | CSP.0016057 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 63 Wanda Drive |
| City | HIGGANUM |
| State | CT |
| Zip Code | 06441-4370 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Grasso | 44 Thorne Wood Road, Higganum, CT 06441 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Julie A Hajek | 364 Candlewood Hill Road, Higganum, CT 06441 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Timothy L Brewer | 144 Dublin Hill Rd, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Fortuna | 58 Killingworth Road, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kelli S Botteon · Brown | 23 Depot Road, Higganum, CT 06441 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| David Wysocki | Po Box 743, Higganum, CT 06441 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Theresa M Beeman | 28 Teaberry Court, Higganum, CT 06441 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Ronald Hajek | 364 Candlewood Hill, Higganum, CT 06441 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Heather M Herrington · Ridgeway | 186 Brainard Hill Rd, Higganum, CT 06441 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brenda L Marinan | P O Box 605, Higganum, CT 06441 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06441 | |||
| City | HIGGANUM |
| Zip Code | 06441 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HIGGANUM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith C Boldon Md | Keith Boldon Md, Cheshire, CT 06410 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Keith A Kaplan | 24 Carriage Dr, Farmington, CT 06032-2704 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Keith B Quencer | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Keith J Champney | 17 Ewell Ave, Lexington, MA 02421 | Physician/surgeon | 1999-10-14 ~ 2000-08-31 |
| Keith Ray Hodge Md | 95 Dover Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-03-12 ~ 2002-03-31 |
| Keith Gallagher | 11 Bishop St, New Haven, CT 06511-3931 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Keith M Spellman | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Keith A Hernandez Md | 193 River Rd, Madison, CT 06443 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Keith A Cauley | 33 Fairview Dr, Farmington, CT 06032-2516 | Physician/surgeon | 2020-01-24 ~ 2020-08-31 |
| Keith Edwards | 140 Hospital Dr, Bennington, VT 05201 | Physician/surgeon | 1992-07-23 ~ 1993-06-30 |
Please comment or provide details below to improve the information on KEITH S SINUSAS.
| 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).