MICHELLE A HACK (Credential# 1082787) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MICHELLE A HACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053179. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 44 Ardmore Rd Fl 1, West Hartford, CT 06119-1201. The current status is inactive.
| Licensee Name | MICHELLE A HACK |
| Credential ID | 1082787 |
| Credential Number | CSP.0053179 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
44 Ardmore Rd Fl 1 West Hartford CT 06119-1201 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-08-09 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1158120 | 2.010953 | Dentist | 2013-06-11 | 2014-12-01 - 2015-11-30 | INACTIVE |
| Street Address | 44 ARDMORE RD FL 1 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan Taylor Honahan | 50 Ardmore Rd Fl 2, West Hartford, CT 06119-1201 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Eryn Katherine Kelly | 58 Ardmore Rd Unit 2, West Hartford, CT 06119-1201 | Medical Marijuana Producer Employee | 2019-12-01 ~ 2020-11-30 |
| Thomas K Budz | 44 Ardmore Rd, West Hartford, CT 06119-1201 | Pharmacy Technician | 2018-02-23 ~ 2019-03-31 |
| Ken P Liu | 48 Ardmore Rd, West Hartford, CT 06119-1201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ilyssa Emily Scheinbach | 60 Ardmore Rd Apt 1, West Hartford, CT 06119-1201 | Physician/surgeon | 2017-08-01 ~ 2018-08-31 |
| Frank J Taylor · Taylor Remodeling | 60 Ardmore Rd, West Hartford, CT 06119-1201 | Home Improvement Contractor | 2012-12-05 ~ 2013-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan R Hack | 120 Park Lane, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin Ferguson | 65 Aunt Hack Rd, Danbury, CT 06811-2720 | Controlled Substance Registration for Practitioner | 2020-06-16 ~ 2021-02-28 |
| Jerry A Green | 67 Aunt Hack Rd., Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle L Allyn | 40 Rex Rd, Lisbon, CT 06351-2821 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren A Hai | 200 Michelle Ln Apt 303, Groton, CT 06340-4235 | Controlled Substance Registration for Practitioner | 2015-02-12 ~ 2017-02-28 |
| Michelle L Hershman | 865 Mix Ave Apt L4, New Haven, CT 06514-2143 | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
| Michelle A Van Name | 22 Acorn Dr, Bethany, CT 06524-3383 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle Lee Fox | 533 Castle Manor Ct, Indianapolis, IN 46214-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle M Perez | 130 Wainwright Pl, Stratford, CT 06614-3247 | Controlled Substance Registration for Practitioner | 2019-06-26 ~ 2021-02-28 |
| Michelle M Lachance Pa | 70 Smithfield Ave, Meriden, CT 06451-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MICHELLE A HACK.
| 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).