SUSANA HERRICK DDS (Credential# 886933) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SUSANA HERRICK DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046028. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 622 Hebron Ave Ste 105, Glastonbury, CT 06033-5003. The current status is active.
| Licensee Name | SUSANA HERRICK DDS |
| Credential ID | 886933 |
| Credential Number | CSP.0046028 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
622 Hebron Ave Ste 105 Glastonbury CT 06033-5003 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 704498 | 2.010046 | Dentist | 2009-06-11 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 622 HEBRON AVE STE 105 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-5003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susana Carino | 19 Blackberry Ln, Shelton, CT 06484-3774 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susana Moon Cho | 416 57th St Apt 3, Brooklyn, NY 11220-3407 | Controlled Substance Registration for Practitioner | 2011-03-03 ~ 2013-02-28 |
| Marcy Ann Mcintosh | 193 Herrick Rd, Riverside, IL 60546-2045 | Controlled Substance Registration for Practitioner | 2019-09-20 ~ 2021-02-28 |
| Susana L Dipp Md | 40 Prospect Street, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Susana M Querido | 295 Central Park W, New York, NY 10024-3008 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth B Herrick | 5 Shanda Lane, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 1994-10-11 ~ 1996-10-01 |
| Timothy W Herrick | 91 Camp Street, Hyannis, MA 02601 | Controlled Substance Registration for Practitioner | 2000-03-03 ~ 2001-02-28 |
| Drew Herrick | 17 R Mica Hill, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Herrick · A Herrick Contractors | 314 Chapman Hill Pond Rd Unit #16, Westbrook, CT 06498 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
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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).