TRACY PATEL (Credential# 1200947) 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.
TRACY PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056564. 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 Cottage Grove Cardiology, PC, Bloomfield, CT 06002. The current status is active.
| Licensee Name | TRACY PATEL |
| Credential ID | 1200947 |
| Credential Number | CSP.0056564 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Cottage Grove Cardiology, PC Bloomfield CT 06002 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-01-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1252402 | 1.053773 | Physician/Surgeon | 2015-01-02 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 537629 | CSP.0045918 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-08-03 | 2009-08-03 - 2011-02-28 | INACTIVE |
| Street Address | Cottage Grove Cardiology, PC |
| City | Bloomfield |
| State | CT |
| Zip Code | 06002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jawad Haider Md | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ronald J Bloom Dr | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Carolyn M Kosack | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Vincent Romano Md | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maria Theresa Santos | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brett Nowlan | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | Bloomfield |
| Zip Code | 06002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bloomfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Padmavatia Patel Md · C/o Southbury Training School | 1461 South Britain Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy E Kim Md | 178 Linden St Apt #g-4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Amisha J Patel | 905 Mix Ave Apt 1b, Hamden, CT 06514-5111 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jay C Patel | 132 Mansfield Ave Ste 200, Willimantic, CT 06226-2027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Biraj Patel | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Krupa B Patel | Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Devang N Patel Md | Apt B-3, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Tracy Shevell Md | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy G Carmellini | 101 No Plains, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Tracy C Kania | 231 Winding Rdg, Southington, CT 06489-2114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TRACY PATEL.
| 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).