IWONA LACKA (Credential# 1195060) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
IWONA LACKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052631. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 207 George St, Middletown, CT 06457-3590. The current status is active.
| Licensee Name | IWONA LACKA |
| Credential ID | 1195060 |
| Credential Number | 1.052631 |
| Credential Type | Physician/Surgeon |
| Business Address |
207 George St Middletown CT 06457-3590 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-12-23 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 977106 | CSP.0049421 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 207 GEORGE ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3590 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison N Hallbach | 207 George St, Middletown, CT 06457 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Adam Thomas Sola | 207 George St, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Matthew J Seickel | 207 George St, Middletown, CT 06457-3590 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
| Sean M Lang | 207 George St, Middletown, CT 06457 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Lisa D Mccoy | 207 George St, Middletown, CT 06457 | Dentist | 2012-07-01 ~ 2013-06-30 |
| Julia M Friedman Pa | 207 George St, Middletown, CT 06457 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elena Bruce | 440 Chamberlain Rd, Middletown, CT 06457-3590 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Marijo Hinsberg | 207 George St # 315, Middletown, CT 06457-3590 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia A Zayas | 1060 Oriental Blvd, Opa-lacka, FL 33054 | Licensed Practical Nurse | 1996-02-26 ~ 1996-11-30 |
| Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Iwona Bak | 139 Songbird Ln, Farmington, CT 06032 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Iwona K Horelik | 760 Hopmeadow St Ste 208, Simsbury, CT 06070-2299 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Iwona J Bartosiewicz | 491 Den Rd, Stamford, CT 06903 | Real Estate Salesperson | ~ |
| Iwona Zalewska | 61 Pine Hollow Dr, Southington, CT 06489 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Iwona Stachelek | 334 Atkins St, Middletown, CT 06457-1534 | Dietitian/nutritionist | 2019-11-01 ~ 2020-10-31 |
| Iwona M Stepak | 15 Chapman St, Newington, CT 06111-1702 | Optician Apprentice | 2019-09-01 ~ 2020-08-31 |
| Iwona Wojcik | 425 Menard Ln, Ontario, N9J3L1 | Registered Nurse | 2002-08-30 ~ 2003-03-31 |
| Iwona Vujovic | Po Box 545, Dover Plains, NY 12522-0545 | Licensed Practical Nurse | ~ |
Please comment or provide details below to improve the information on IWONA LACKA.
| 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).