LEON A BACZESKI JR (Credential# 150575) 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.
LEON A BACZESKI JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011995. 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 41 Germantown Road, Danbury, CT 06810. The current status is active.
| Licensee Name | LEON A BACZESKI JR |
| Credential ID | 150575 |
| Credential Number | CSP.0011995 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
41 Germantown Road Danbury CT 06810 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545037 | 1.024515 | Physician/Surgeon | 1983-10-03 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 41 GERMANTOWN ROAD |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose' F Arraiano Pa | 41 Germantown Road, Danbury, CT 06810 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Rachel R Rothschild Md | 41 Germantown Road, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David B Gropper | 41 Germantown Road, Danbury, CT 06810 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jamie L Alon Md | 41 Germantown Road, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aaron M Slaiby | 41 Germantown Road, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce W Cohen | 41 Germantown Road, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leon Tec Md | 11 Rockyfield Rd, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Leon D Hanna Dds | 61 4th St, Stamford, CT 06905-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leon Garcia | 67 Maple Ave, Derby, CT 06418-1328 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leon Rafailov | 123 York St Apt 8l, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Leon A Goldstein Md | 141 Durham Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leon W Zimmerman Md | 85 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Lissette A. Leon Md | 44 Chestnut St, Ardsley, NY 10502-1002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Janice Leon | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Leon Rapko Do | 71 Aiken St Apt F4, Norwalk, CT 06851-2124 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daisy Leon-martinez | 333 Cedar St., Fmb 339, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).