SUSAN C PANNULLO (Credential# 884284) is licensed (Physician/surgeon) 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.
SUSAN C PANNULLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048776. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is Dept of Neurological Surgery, New York, NY 10021. The current status is active.
| Licensee Name | SUSAN C PANNULLO |
| Credential ID | 884284 |
| Credential Number | 1.048776 |
| Credential Type | Physician/Surgeon |
| Business Address |
Dept of Neurological Surgery New York NY 10021 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-24 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-05 |
| Street Address | Dept of Neurological Surgery |
| City | New York |
| State | NY |
| Zip Code | 10021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
| Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
| Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
| Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10021 | |||
| City | New York |
| Zip Code | 10021 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ava M Pannullo Md | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Hebrew Home & Hospital: Medical Director Ava Pannullo | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Susan Kornacki | Apt 4m, Ny, NY 10014 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Susan D Dibs | 14 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2006-04-13 ~ 2007-05-31 |
| Susan T Lubin | 58 Franklin Ave, Rye, NY 10580-2545 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Susan Seo | 550 1st Avenue, New York, NY 10025 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Renuka Dulala | 7 Susan Ter, Waterford, CT 06385-3515 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Susan C Lee | 535 E 70th Street, New York, NY 10021 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Susan A Enlow | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
Please comment or provide details below to improve the information on SUSAN C PANNULLO.
| 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).