ALLAN SUTIN MD (Credential# 552868) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.
ALLAN SUTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035275. The credential type is physician/surgeon. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 30 Forest Glen Dr, Woodbridge, CT 06525-1449. The current status is inactive.
Licensee Name | ALLAN SUTIN MD |
Credential ID | 552868 |
Credential Number | 1.035275 |
Credential Type | Physician/Surgeon |
Business Address |
30 Forest Glen Dr Woodbridge CT 06525-1449 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-05-31 |
Effective Date | 2016-09-01 |
Expiration Date | 2017-08-31 |
Refresh Date | 2017-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
174510 | CSP.0024451 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 30 FOREST GLEN DR |
City | WOODBRIDGE |
State | CT |
Zip Code | 06525-1449 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristy M Laydon | 16 Forest Glen Dr, Woodbridge, CT 06525-1449 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
James A Van Rhee | 34 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Richard S Blum | 38 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Patricia Aguayo Rosas | 58 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Jeffrey E Laydon | 16 Forest Glen Dr, Woodbridge, CT 06525-1449 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
Find all Licenses in zip 06525 |
City | WOODBRIDGE |
Zip Code | 06525 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WOODBRIDGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Allan E Garb Md | 49 Dandy Dr, Cos Cob, CT 06807 | Physician/surgeon | 1997-06-18 ~ 1998-07-31 |
Allan Z Safferman Md | Pfizer Inc., Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Allan J. Rodrigues | 136 Sherman Ave Ste 205, New Haven, CT 06511-5210 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Anne E Allan | 28 Kingswood Rd., Auburndale, MA MA | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
Allan S Klapper | 568 Macleod Dr, Gibsonia, PA 15044-8962 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
Allan E Dumont Md | 603 Steele Rd, New Hartford, CT 06057 | Physician/surgeon | 2003-09-15 ~ 2004-10-31 |
Allan L Toole | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 1995-12-14 ~ 1996-11-30 |
Allan B Rubin | 21 Seymour Drive, New City, NY 10956 | Physician/surgeon | 1996-07-23 ~ 1997-07-31 |
Allan S Stewart | 24 Sunset Drive, New Fairfield, CT 06812 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Allan Louie Espino Cruz | 110 Irving St. Nw, Washington, DC 20010 | Physician/surgeon | ~ |
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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).