SUSAN O'MALLEY MD (Credential# 552921) 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.
SUSAN O'MALLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035328. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 129 Opening Hill Road, Madison, CT 06443-3144. The current status is active.
| Licensee Name | SUSAN O'MALLEY MD |
| Credential ID | 552921 |
| Credential Number | 1.035328 |
| Credential Type | Physician/Surgeon |
| Business Address |
129 Opening Hill Road Madison CT 06443-3144 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-06-21 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 178138 | CSP.0024508 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 129 Opening Hill Road |
| City | MADISON |
| State | CT |
| Zip Code | 06443-3144 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan S Malley Ms. | 20 Mckeon Place, Ridgefield, CT 06877 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Richard A O'malley | 220 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1998-10-14 ~ 1999-12-31 |
| David M O'malley Md | 122 Russell St, Hamden, CT 06517 | Physician/surgeon | 2005-05-05 ~ 2006-04-30 |
| Shannon Elizabeth O'malley | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-19 ~ 2020-08-31 |
| Grace Marion O'malley | 100 Motor Parkway, Hauppauge, NY 11788 | Physician/surgeon | ~ |
| Martin J O'malley Md | 420 East 72nd Street, New York, NY 10021 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Julia M O'malley-keyes | 1 Letterman Drive Bldg C, Ste 3500, San Francisco, CA 94129 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Edward J Malley IIi · E J Malley Construction | 20 Devine Rd, Suffield, CT 06078 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Brian J Malley · Malley Remodeling | 49 First St, New Britain, CT 06051 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Abby C O'malley · O-malley | 30 Duncan Road, Manchester, CT 06040 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on SUSAN O'MALLEY 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).