SUSAN A SHACK (Credential# 550768) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 6, 2001. The license expiration date date is July 31, 2002. The license status is INACTIVE.
SUSAN A SHACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033169. The credential type is physician/surgeon. The effective date is September 6, 2001. The expiration date is July 31, 2002. The business address is 136 Wells Hill Road, Weston, CT 06883. The current status is inactive.
| Licensee Name | SUSAN A SHACK |
| Credential ID | 550768 |
| Credential Number | 1.033169 |
| Credential Type | Physician/Surgeon |
| Business Address |
136 Wells Hill Road Weston CT 06883 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-07-23 |
| Effective Date | 2001-09-06 |
| Expiration Date | 2002-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 136 WELLS HILL ROAD |
| City | WESTON |
| State | CT |
| Zip Code | 06883 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06883 | |||
| City | WESTON |
| Zip Code | 06883 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shake Shack Shack Rose | CT | Liquor Brand Label | 2019-08-12 ~ 2022-08-11 |
| Shack (the) | 296 Flanders Rd, East Lyme, CT 06333 | Bakery | 2006-07-01 ~ 2007-06-30 |
| Radio Shack #1194 · Radio Shack Corporation | 101 Westfarms Mall, Farmington, CT 06032-2632 | Tv & Radio Dealer | 2003-09-29 ~ 2004-08-31 |
| Susan Kornacki | Apt 4m, Ny, NY 10014 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Susan T Lubin | 58 Franklin Ave, Rye, NY 10580-2545 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Susan D Dibs | 14 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2006-04-13 ~ 2007-05-31 |
| Susan Seo | 550 1st Avenue, New York, NY 10025 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Susan Beris | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Paul C Nowak Md | 12 Susan Dr, Somers, NY 10589 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on SUSAN A SHACK.
| 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).