SETH M SULLIVAN (Credential# 884190) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
SETH M SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048044. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 12 Parkway Road, Bronxville, NY 10708-3609. The current status is active.
| Licensee Name | SETH M SULLIVAN |
| Credential ID | 884190 |
| Credential Number | 1.048044 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Parkway Road Bronxville NY 10708-3609 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-07 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 892219 | CSP.0046407 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-08-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 12 Parkway Road |
| City | BRONXVILLE |
| State | NY |
| Zip Code | 10708-3609 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rian Shandler | 125 Parkway Rd Apt 1220, Bronxville, NY 10708-3609 | Registered Nurse | 2020-06-20 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmelita Reyes-montinola | 801 Bronx River Rd, Bronxville, NY 10708 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hedieh Honarpisheh | 52 Howe Place, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joshua Brandfonbrener | 9 Alden Place, Bronxville, NY 10708 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ayako Takahata | 76a Oregon Ave, Bronxville, NY 10708 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Anne H Angevine Md | 14 Westway, Bronxville, NY 10708 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Stephen Ryan Meyers | 4 Valley Road, Bronxville, NY 10708 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Caroline S Beit | 11 White Plains Road, Bronxville, NY 10708 | Emergency Medical Technician | ~ |
| Philip J Overby Md | 133 Pondfield Road, Bronxville, NY 10708 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anna Belman | 55 Palmer Avenue, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michele L Rohr Md | 43 Greenfield Ave, Bronxville, NY 10708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 10708 | |||
| City | BRONXVILLE |
| Zip Code | 10708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRONXVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Seth R Sweetser | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-03-01 ~ 2020-02-29 |
| Seth M Brown | 21 South Rd Ste 112, Farmington, CT 06032-2410 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Seth M Powsner Md | 285 Ridge Rd, Hamden, CT 06517 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Seth A Gross Md | 30 Stevens St Ste D, Norwalk, CT 06850-3859 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Rajeev K Seth Md | 520 N. Forgeus Ave, Tucson, AZ 85716 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Seth Walker | 300 Cedar St, Tac-441 South, New Haven, CT 06520-8057 | Physician/surgeon | ~ |
| Seth I Keller | 439 Edgewood Ave, New Haven, CT 06511 | Physician/surgeon | 2002-07-01 ~ 2003-07-31 |
| Seth M Lewin | 115 Standish Road, Needham, MA 02492 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Seth L Neubardt Md | 244 Westchester Ave Ste 310, White Plains, NY 10604-2909 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Seth I Sokol | 26 Spencer Place, New Haven, CT 06515 | Physician/surgeon | 2004-12-13 ~ 2005-11-30 |
Please comment or provide details below to improve the information on SETH M SULLIVAN.
| 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).