ZACKARY J TUSHAK (Credential# 1282268) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
ZACKARY J TUSHAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060110. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 3823 W 10th St, Erie, PA 16505-3223. The current status is lapsed.
| Licensee Name | ZACKARY J TUSHAK |
| Credential ID | 1282268 |
| Credential Number | CSP.0060110 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3823 W 10th St Erie PA 16505-3223 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-05-26 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488896 | 1.058291-RES | Resident Physician | 2015-06-28 | 2015-06-28 - 2018-06-30 | INACTIVE |
| Street Address | 3823 W 10TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-3223 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kellie Schmitt | 5171 Wolf Run Dr, Erie, PA 16505 | Registered Nurse - Temporary | 2020-04-23 ~ 2020-08-21 |
| Philip Joseph Razanauskas | 2508 N Tracy Drive, Erie, PA 16505 | Registered Nurse - Temporary | 2017-12-20 ~ 2018-04-18 |
| Michael D Grout | 1313 Hilborn Ave., Erie, PA 16505 | Crane Operator | 2009-09-21 ~ 2011-09-20 |
| Preferred Systems Inc | 1341 West St, Erie, PA 16505 | Real Estate Continuing Education Provider | 2017-07-31 ~ |
| Donald E Macpherson · Lord Corp | 422 Madison Ave, Erie, PA 16505 | Professional Engineer | 1991-02-06 ~ 1992-01-31 |
| Heng-pooi Lim | 6323 Meadowrue Lane, Erie, PA 16505 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
| Leslaw M Strazek | 1937 S Shore Dr, Erie, PA 16505 | Physician/surgeon | 1992-06-25 ~ 1993-02-28 |
| Peter T Jordano | 624 Powell Ave., Erie, PA 16505 | Dentist | 1998-06-24 ~ 1999-06-30 |
| Carol D Susann | 720 Ridgeview Dr, Erie, PA 16505 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Josephine Mraz | 4950 Tramarlac Lane, Erie, PA 16505 | Registered Nurse | 1998-10-30 ~ 1999-10-31 |
| Find all Licenses in zip 16505 | |||
| City | ERIE |
| Zip Code | 16505 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ERIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| A F Allam | Po Box 388, Farmington, CT 06034-0388 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kit I Ho | 15 Orange St # 403, New Haven, CT 06510-3317 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ZACKARY J TUSHAK.
| 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).