SUSAN M PARKER (Credential# 549993) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
SUSAN M PARKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032384. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 40 Styles Ave., Newington, CT 06111. The current status is active.
| Licensee Name | SUSAN M PARKER |
| Doing Business As | WILBURN |
| Credential ID | 549993 |
| Credential Number | 1.032384 |
| Credential Type | Physician/Surgeon |
| Business Address |
40 Styles Ave. Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-06-19 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-10-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157520 | CSP.0020612 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-04-18 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 40 Styles Ave. |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terri L Parker | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andreea Goldberger | 303 Parker St, Newton, MA 02459-2629 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Daryl R. Parker | 132 York Rd, Mansfield, MA 02048-1764 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| James M Parker Jr | 540 Saybrook Rd Ste 100, Middletown, CT 06457-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Victoria B Parker | 44 Wildwood Rd, West Simsbury, CT 06092-2720 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Isador H Lieberman | 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Ralph L Parker | 3200 Park Ave, Bridgeport, CT 06604 | Physician/surgeon | 2005-07-15 ~ 2006-07-31 |
| Charles Parker Windham | 150 Pine St Apt 219, Manchester, CT 06040-5056 | Physician/surgeon | 1989-07-14 ~ 1992-11-30 |
| Prakash R Patel | 24 Parker Road, Avon, CT 06001 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Eric Michael Padegimas | 53 Parker St, Wallingford, CT 06492 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on SUSAN M PARKER.
| 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).