SUSAN D DIBS (Credential# 553588) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2006. The license expiration date date is May 31, 2007. The license status is INACTIVE.
SUSAN D DIBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035996. The credential type is physician/surgeon. The effective date is April 13, 2006. The expiration date is May 31, 2007. The business address is 14 Fox Den Way, Woodbridge, CT 06525. The current status is inactive.
| Licensee Name | SUSAN D DIBS |
| Credential ID | 553588 |
| Credential Number | 1.035996 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Fox Den Way Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-05-09 |
| Effective Date | 2006-04-13 |
| Expiration Date | 2007-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 180756 | CSP.0025451 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 14 FOX DEN WAY |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525 |
| 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 |
|---|---|---|---|
| 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 Seo | 550 1st Avenue, New York, NY 10025 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Susan T Lubin | 58 Franklin Ave, Rye, NY 10580-2545 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Susan L Abend | 630 Plantation St, Worcester, MA 01605 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Susan T Williams | G.i. Pathology, Memphis, TN 38112 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Susan Mcnamara | 545 Main St., Middlefield, CT 06455 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| 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 |
| Susan Covey Md | 326 Riders Ln, Fairfield, CT 06430 | Physician/surgeon | 1998-05-14 ~ 1999-05-31 |
Please comment or provide details below to improve the information on SUSAN D DIBS.
| 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).