SUSANNE W GRAUBAUM (Credential# 785790) is licensed (Dietitian/nutritionist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
SUSANNE W GRAUBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #59.000551. The credential type is dietitian/nutritionist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 135 Middle St, Bristol, CT 06010-8400. The current status is active.
Licensee Name | SUSANNE W GRAUBAUM |
Credential ID | 785790 |
Credential Number | 59.000551 |
Credential Type | Dietitian/Nutritionist |
Business Address |
135 Middle St Bristol CT 06010-8400 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-09-06 |
Effective Date | 2019-10-01 |
Expiration Date | 2020-09-30 |
Refresh Date | 2019-10-01 |
Street Address | 135 MIDDLE ST |
City | BRISTOL |
State | CT |
Zip Code | 06010-8400 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fmc Dialysis Services Forestville | 135 Middle St, Bristol, CT 06010-8400 | Hemodialysis | 2020-01-01 ~ 2021-12-31 |
Fresenius Med Care Dialysis Svc Forestville · Susan E. Halley, M.d. | 135 Middle St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Find all Licenses in zip 06010 |
City | BRISTOL |
Zip Code | 06010 |
License Type | Dietitian/Nutritionist |
License Type + County | Dietitian/Nutritionist + BRISTOL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susanne M Vignati | 7 High Ledge Rd, Bloomfield, CT 06002-2112 | Dietitian/nutritionist | 2020-01-01 ~ 2020-12-31 |
Marcie D Grimard | CT | Dietitian/nutritionist | ~ |
Lie H Handali | 15 Ronald Ln, Cos Cob, CT 06807-1616 | Dietitian/nutritionist | 2019-09-01 ~ 2020-08-31 |
Jeannette E Riviere | 10 Old Mamarone Rd Apt 104, CT 10650 | Dietitian/nutritionist | ~ |
Amy C. Blewitt | 1 Day Dr, Old Saybrook, CT 06475-1007 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
Amy T Wardell | P.o.box 189, Spofford, NH 03462 | Dietitian/nutritionist | 2004-04-26 ~ 2005-04-30 |
Gina M Puorro | 15 Rye St, Ste 305, Portsmouth, NH 03801 | Dietitian/nutritionist | ~ |
Ann M Balthazor | 562 Whitney Ave Apt 1, New Haven, CT 06511-7702 | Dietitian/nutritionist | 2015-09-01 ~ 2016-08-31 |
Marianne Cox | 268 Fourth Ave, Stratford, CT 06615 | Dietitian/nutritionist | 2015-04-01 ~ 2016-03-31 |
Romilly E Hodges | Binzenmatt 5, 06482-1193 | Dietitian/nutritionist | 2020-05-01 ~ 2021-04-30 |
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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).