ROMAN T PACHULSKI (Credential# 1271583) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
ROMAN T PACHULSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054612. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 4630 Center Blvd Apt 1104, Long Island City, NY 11109-5731. The current status is active.
| Licensee Name | ROMAN T PACHULSKI |
| Credential ID | 1271583 |
| Credential Number | 1.054612 |
| Credential Type | Physician/Surgeon |
| Business Address |
4630 Center Blvd Apt 1104 Long Island City NY 11109-5731 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-09-14 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-09-26 |
| Street Address | 4630 CENTER BLVD APT 1104 |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11109-5731 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie Carreon | 4610 Center Blvd, Long Island City, NY 11109 | Registered Nurse | ~ |
| Nicole R. Hurley | 4-75 48th Avenue, Apt. 3509, Long Island City, NY 11109 | Notary Public Appointment | 2020-02-05 ~ 2024-07-31 |
| Michael C Rawley | 4545 Center Blvd, New York, NY 11109 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Caitlin Kevins | 4540 Center Blvd, Long Island City, NY 11109 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| Irum Nawaz Khan | Apt 3301, 475 48th Ave, Long Island City, NY 11109 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
| Michael I Packman Md | 475 48th Avenue, Long Island City, NY 11109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Soon Y Hwang Dds | 4720 Center Blvd Apt518, Long Island City, NY 11109 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Agnieszka Wisniewska | 4720 Center Blvd, Long Island City, NY 11109 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nhu Duong Q Tina Dao | 475 48th Ave, Long Island City, NY 11109-5501 | Pharmacist | 2012-03-28 ~ 2014-01-31 |
| Nicolas Eduardo Palacios Meza | 475 48th Ave Apt 1605, Long Island City, NY 11109-5516 | Controlled Substance Registration for Practitioner | 2020-01-14 ~ 2021-02-28 |
| Find all Licenses in zip 11109 | |||
| City | LONG ISLAND CITY |
| Zip Code | 11109 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONG ISLAND CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roman A Klufas | 50 Galen Ct., Seekonk, MA 02771 | Physician/surgeon | ~ |
| Roman Alder Md | 4 Main St, New Milford, CT 06776-2802 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Tina Roman | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Roman W. Matlaga | 15 Bodine Ln, Honesdale, PA 18431-4047 | Physician/surgeon | 2012-01-12 ~ 2012-08-31 |
| Roman Chrucky | 5 Old Mill Rd, Trumbull, CT 06611 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Sanziana A Roman Md | 333 Cedar Street, New Haven, CT 06520-8062 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Roman A Tuma | 150 Everit Street, New Haven, CT 06511 | Physician/surgeon | 2000-02-11 ~ 2001-01-31 |
| Roman Khodzinsky | 37 Sara Circle, North Haven, CT 06473 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Antonio Regino Roman | 1975 Delaware Ave, Buffalo, NY 14216-3569 | Physician/surgeon | 1988-07-08 ~ 1989-01-31 |
| Mary Janice Pachulski | 560 River Rd, Shelton, CT 06484 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on ROMAN T PACHULSKI.
| 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).