JOHN HASYCHAK III
Controlled Substance Registration for Practitioner


Address: 66 Crestwood Dr, Hollis, NH 03049-6003

JOHN HASYCHAK III (Credential# 1286806) 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 INACTIVE.

Business Overview

JOHN HASYCHAK III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060336. 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 66 Crestwood Dr, Hollis, NH 03049-6003. The current status is inactive.

Basic Information

Licensee Name JOHN HASYCHAK III
Credential ID 1286806
Credential Number CSP.0060336
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 66 Crestwood Dr
Hollis
NH 03049-6003
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2015-05-28
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-20

Other licenses

ID Credential Code Credential Type Issue Term Status
1448951 1.057095-DO Physician/Surgeon 2017-10-03 2018-09-01 - 2019-08-31 INACTIVE
1489394 1.058600-RES Resident Physician 2017-07-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 66 CRESTWOOD DR
City HOLLIS
State NH
Zip Code 03049-6003

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eileen A Powers 27 Blacksmith Lane, Hollis, NH 03049 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jonathan P Bruneau 11 Howe Lane, Hollis, NH 03049 Professional Engineer 2020-02-01 ~ 2021-01-31
Sanford Crittenden 53 Brown Lane, Hollis, NH 03049 Home Improvement Salesperson 2018-09-21 ~ 2019-11-30
Tiffany Rhodes 26 Deacon Ln, Hollis, NH 03049 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Tory M Veiga 43 Black Oak Dr, Hollis, NH 03049 Electrical Unlimited Contractor 2015-10-01 ~ 2016-09-30
Ronald A Deblois Jr 120 Proctor Hill Rd, Hollis, NH 03049 Professional Engineer 2008-02-29 ~ 2009-01-31
Howard H Pellatt 197 Wheeler Road, Hollis, NH 03049 Certified Public Accountant Certificate ~
Walter W Hemming P.o. Box 141 Worcester Rd, Hollis, NH 03049 Certified Public Accountant Certificate ~
Jeffrey E Martin 124 Wheeler Rd, Hollis, NH 03049 Heating, Piping & Cooling Limited Journeyperson ~
Michelle L Baerthlein 275 S. Merrimack Road, Hollis, NH 03049 Registered Nurse 2009-01-26 ~ 2010-02-28
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Competitor

Search similar business entities

City HOLLIS
Zip Code 03049
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HOLLIS

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Dataset Information

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).

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