SUSAN S MALLEY Ms.
Physician/surgeon


Address: 20 Mckeon Place, Ridgefield, CT 06877

SUSAN S MALLEY Ms. (Credential# 561819) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is August 31, 2015. The license status is INACTIVE.

Business Overview

SUSAN S MALLEY Ms. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044237. The credential type is physician/surgeon. The effective date is September 1, 2014. The expiration date is August 31, 2015. The business address is 20 Mckeon Place, Ridgefield, CT 06877. The current status is inactive.

Basic Information

Licensee Name SUSAN S MALLEY Ms.
Credential ID 561819
Credential Number 1.044237
Credential Type Physician/Surgeon
Business Address 20 Mckeon Place
Ridgefield
CT 06877
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-04-04
Effective Date 2014-09-01
Expiration Date 2015-08-31
Refresh Date 2015-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1142654 CSP.0054072 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-12-24 2012-12-24 - 2015-02-28 INACTIVE

Office Location

Street Address 20 McKeon Place
City Ridgefield
State CT
Zip Code 06877

Licenses in the same zip code

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Kathleen Morrin 169 Nod Road, Ridgefield, CT 06877 Radiographer 2020-09-01 ~ 2021-08-31
Elena Yakimova 8 Lawson Lane, Ridgefield, CT 06877 Dental Hygienist 2020-07-01 ~ 2021-06-30
Jasmine Gannalo 35 Clearview Dr, Ridgefield, CT 06877 Esthetician 2020-06-26 ~ 2022-06-30
Nicole A Van Alstyne 105 Stonecrest Road, Ridgefield, CT 06877 Real Estate Salesperson ~
Andrea A Delange · Ledina 5 Copper Beech Lane, Ridgefield, CT 06877 Physical Therapist 2020-09-01 ~ 2021-08-31
Mitchell O Hubsher 77 Chestnut Hill Road, Ridgefield, CT 06877 Naturopathic Physician 2020-07-01 ~ 2021-06-30
Milillo Farms 424 R Main St, Ridgefield, CT 06877 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Marie G Donofrio 36 Woodlawn Dr, Ridgefield, CT 06877 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jennifer M Kinford 40 Woodland Way, Ridgefield, CT 06877 Esthetician ~
Lauren Elizabeth Pambianchi 49 11 Levels Road, Ridgefield, CT 06877 Registered Nurse ~
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Competitor

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City Ridgefield
Zip Code 06877
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Ridgefield

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Dataset Information

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).

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