SUSAN S BLUM MD (Credential# 562004) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SUSAN S BLUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044422. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 34 Rye Ridge Plaza, Rye Brook, NY 10573. The current status is active.
| Licensee Name | SUSAN S BLUM MD |
| Credential ID | 562004 |
| Credential Number | 1.044422 |
| Credential Type | Physician/Surgeon |
| Business Address |
34 Rye Ridge Plaza Rye Brook NY 10573 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-06-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 528061 | CSP.0045273 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 34 RYE RIDGE PLAZA |
| City | RYE BROOK |
| State | NY |
| Zip Code | 10573 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Cristina Perez | 10 Nella Lane, Port Chester, NY 10573 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Santander Contracting LLC | 304 Locust Ave, Port Chester, NY 10573 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Starlyn Adames | 65 1/2 Poningo St, Port Chester, NY 10573 | Occupational Therapist | ~ |
| Juliana C Alzate | 140 Grace Church St, Port Chester, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Editha M Comia | 480 King St, Port Chester, NY 10573 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl P Lopez | 14 Fawcett Street, Port Chester, NY 10573 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Madeline X Cole-short | 40 Quintard Dr., Port Chester, NY 10573 | Emergency Medical Responder | ~ |
| Helene A Kimmons | 9 Burdsall Drive, Port Chester, NY 10573 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leukemia & Lymphoma Society Inc | 3 International Drive, Rye Brook, NY 10573 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Robert M Tramontano | 80 Doral Greens Drive West, Rye Brook, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10573 | |||
| City | RYE BROOK |
| Zip Code | 10573 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RYE BROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liran Blum | 15 Riverside Ave, Bristol, CT 06010-6951 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas M Blum | 93 Library St., Mystic, CT 06355 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael S. Blum | 84 Hoyt Ln, Guilford, CT 06437-4329 | Physician/surgeon | 2003-02-10 ~ 2004-03-31 |
| Leslie F Blum | 32 Chestnut Ridge Rd, Armonk, NY 10504 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Richard S Blum | 38 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lawrence M Blum Md | 125 Field Point Dr, Fairfield, CT 06824-6374 | Physician/surgeon | 2004-03-09 ~ 2005-04-30 |
| Michael Lloyd Blum | 7161 Via Firenze, Boca Raton, FL 33433 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan G Blum | 13 Plank Road, Prospect, CT 06712 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Susan S Blum · William Pitt Re Ltd Partnerhsip | 536 North St, Greenwich, CT 06830 | Real Estate Salesperson | 2004-07-02 ~ 2005-05-31 |
| Joanne Blum-carnevale · Blum-carnevale | 27 Teneycke Hill Rd, N Falmouth, MA 22556 | Advanced Practice Registered Nurse | 2003-01-15 ~ 2004-03-31 |
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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).