SUSAN BARKSDALE PA (Credential# 741902) is licensed (Physician Assistant) 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 BARKSDALE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000153. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 31 Seymour St Ste 100, Hartford, CT 06106-5521. The current status is active.
| Licensee Name | SUSAN BARKSDALE PA |
| Credential ID | 741902 |
| Credential Number | 23.000153 |
| Credential Type | Physician Assistant |
| Business Address |
31 Seymour St Ste 100 Hartford CT 06106-5521 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161474 | CSP.0021536 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 31 SEYMOUR ST STE 100 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5521 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Judson | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sharon S Hull Aprn | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| John F Raycroft Md | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Diane M Barnes Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Karen Livingston Aprn | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Michael L Zande Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Michael S Cremins Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| John Grady-benson Md | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew E Caputo Md | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raymond J Sullivan | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tejas Sheth | 31 Seymour St, Hartford, CT 06106-5521 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hhc Hartford Surgery Center, LLC · Hhc Hartford Surgery Center | 31 Seymour St, Hartford, CT 06106-5521 | Out-patient Surgical Facility | 2019-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Martins Pa | 66 Susan Dr, Ludlow, MA 01056 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Susan M Eads · Elaine V Barksdale | 184 Macedonia Rd, Kent, CT 06757 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Barksdale Realty LLC | 23a Wheaton Rd, New Milford, CT 06776-2121 | Real Estate Broker | 2013-04-01 ~ 2014-03-31 |
| Chetna Patel | 29 Susan Dr, Dudley, MA 01571-3800 | Physician Assistant | ~ |
| Susan M Roy | 2086 Stanley St #408, New Britain, CT 06053 | Physician Assistant | 1994-01-10 ~ 1995-01-31 |
| Susan Sarvay Pa | 58 Neal St Apt 2, Portland, ME 04102-3561 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
| Susan Curilla | 9 E Tomstead Rd, Simsbury, CT 06070-2005 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Susan Fair Pa | 24 Woodward Ave #61, New Haven, CT 06512-3636 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Susan L Rancis | 5 Raphael Way, Westport, CT 06880 | Physician Assistant | 1997-07-29 ~ 1998-07-31 |
| Susan K Peters-pac | 216 Oxford St, Hartford, CT 06105-2250 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).