MICHELLE E ZACK (Credential# 1234652) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 19, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHELLE E ZACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058112. The credential type is controlled substance registration for practitioner. The effective date is January 19, 2020. The expiration date is February 28, 2021. The business address is 124 Valley Forge Rd, Weston, CT 06883. The current status is active.
| Licensee Name | MICHELLE E ZACK |
| Credential ID | 1234652 |
| Credential Number | CSP.0058112 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
124 Valley Forge Rd Weston CT 06883 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-16 |
| Effective Date | 2020-01-19 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1234253 | CSP.0058068 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 576132 | 10.072128 | Registered Nurse | 2003-09-02 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1219969 | 12.005777 | Advanced Practice Registered Nurse | 2014-07-03 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 124 valley forge rd |
| City | weston |
| State | CT |
| Zip Code | 06883 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06883 | |||
| City | weston |
| Zip Code | 06883 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + weston |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Zack | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward J Zack Dds | 144 Morgan Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 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 M West | 18 W Main St, Clinton, CT 06413-2053 | Controlled Substance Registration for Practitioner | ~ |
| Michelle M Perez | 130 Wainwright Pl, Stratford, CT 06614-3247 | Controlled Substance Registration for Practitioner | 2019-06-26 ~ 2021-02-28 |
| Michelle Wojciechowski | 915 N Franklin St, Tampa, FL 33602-3815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle Hughes | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MICHELLE E ZACK.
| 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).