SUZANNE M CARROLL MD (Credential# 556579) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
SUZANNE M CARROLL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038991. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 11 S Brainard St, Naperville, IL 60540-4901. The current status is inactive.
Licensee Name | SUZANNE M CARROLL MD |
Credential ID | 556579 |
Credential Number | 1.038991 |
Credential Type | Physician/Surgeon |
Business Address |
11 S Brainard St Naperville IL 60540-4901 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2000-09-01 |
Effective Date | 2015-02-01 |
Expiration Date | 2016-01-31 |
Refresh Date | 2016-05-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
257606 | CSP.0030383 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-04 - 2009-02-28 | INACTIVE |
Street Address | 11 S BRAINARD ST |
City | NAPERVILLE |
State | IL |
Zip Code | 60540-4901 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Quintessential Tots LLC Dba Itzy Ritzy · Itzy Ritzy | 1665 Quincy Ave, Naperville, IL 60540 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Lee Mark Mandel | 415 West Jackson Ave, Naperville, IL 60540 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Joseph W Cranston Jr | 1382 Old Dominion Court, Naperville, IL 60540 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Jack Barbaccia | 1329 E Gartner, Naperville, IL 60540 | Architect | 2019-08-09 ~ 2020-07-31 |
Dau Trieu Le | 856 Rockbridge Dr, Naperville, IL 60540 | Professional Engineer | ~ |
Christiane D Weber | 1225 Basswood Dr, Naperville, IL 60540 | Engineer-in-training | 2005-11-15 ~ 2015-11-15 |
Elizabeth Giacobbe | 1086 Huntleigh Dr, Naperville, IL 60540 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
Jagannath K Khana | 1195 Banbury Cir, Naperville, IL 60540 | Professional Engineer | 1994-01-10 ~ 1995-01-31 |
Ronald E Topazio · Harza Engineering Co | 683 Honeysuckle Dr, Naperville, IL 60540 | Professional Engineer | 1987-02-27 ~ 1988-01-31 |
Wayne A Cowlishaw | 924 Merrimac Circle, Naperville, IL 60540 | Professional Engineer | 1995-03-13 ~ 1996-01-31 |
Find all Licenses in zip 60540 |
City | NAPERVILLE |
Zip Code | 60540 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NAPERVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah J Carroll | 699 Route 9w S, Nyack, NY 10960-5011 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Carroll B Lesesne | 620 Park Ave, New York, NY 10065-6591 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
Patrick H. Carroll | 126 Meadowbrook Ln, Westport, MA 02790 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Tamara Carroll | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Lynda Carroll | P.o. Box 1006, Nelspruit, 1200 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Carroll P Osgood Jr | 501 Howard Ave, Altoona, PA 16601 | Physician/surgeon | 1996-09-03 ~ 1997-10-31 |
Richard E Carroll | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Kisik Kim | 2246 Fairway Heights, Carroll, IA 51401 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
Brett A Carroll | 31 Elizabeth Street, Shelton, CT 06484 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kevin W Carroll | 3680 Broadway, Ft. Myers, FL 33901 | Physician/surgeon | 2001-01-11 ~ 2002-02-28 |
Please comment or provide details below to improve the information on SUZANNE M CARROLL 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).