WESLEY M VIETZKE (Credential# 152757) 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.
WESLEY M VIETZKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002736. 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 2 Mansfield Grove Rd Apt 173, East Haven, CT 06512-4806. The current status is active.
| Licensee Name | WESLEY M VIETZKE |
| Credential ID | 152757 |
| Credential Number | CSP.0002736 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Mansfield Grove Rd Apt 173 East Haven CT 06512-4806 |
| 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 |
|---|---|---|---|---|---|
| 540588 | 1.013073 | Physician/Surgeon | 1967-07-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 215886 | CSP.0028383 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-08-30 - 2001-02-28 | INACTIVE |
| Street Address | 2 MANSFIELD GROVE RD APT 173 |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512-4806 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen S Abate | 2 Mansfield Grove Rd Apt 173, East Haven, CT 06512-4806 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyra L Moss-scarpellino | 2 Mansfield Grove Rd Apt 165, East Haven, CT 06512-4806 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Victoria L Bozzuto | 2 Mansfield Grove Rd Apt 260, East Haven, CT 06512-4806 | Radiographer | 2019-11-01 ~ 2020-10-31 |
| Francesca M Pisano | 2 Mansfield Grove Rd Apt 176, East Haven, CT 06512-4806 | Hairdresser/cosmetician | 2015-06-01 ~ 2017-05-31 |
| Dora L Alvarez | 2 Mansfield Grove Rd Apt 169, East Haven, CT 06512-4806 | Speech and Language Pathologist | 2011-12-01 ~ 2012-11-30 |
| Robert Higgins | 2 Mansfield Grove Rd Apt 261, East Haven, CT 06512-4806 | Physician/surgeon | 1991-05-24 ~ 1992-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | EAST HAVEN |
| Zip Code | 06512 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Wesley | 573 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-04-28 ~ 1996-05-01 |
| Wesley C Kyle | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wesley W Holden Md | 291 Queen St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1996-10-17 ~ 1997-02-28 |
| Wesley A Baff | 65 Newtown Rd, Danbury, CT 06810-6223 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Guido Napolitano | 13 Wesley Dr, Trumbull, CT 06611-4638 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David M Lauren | 113 Wesley Dr, Huntington, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Mastroianni | 105 Wesley Dr, Shelton, CT 06484-5248 | Controlled Substance Registration for Practitioner | ~ |
| Wesley W Choi | 360 State St Apt 1903, New Haven, CT 06510-3616 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| John Wesley Haine Md | 181 Fairview Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1995-10-11 ~ 1997-02-28 |
| Wesley Thomas Calvin | 8 Osborne Pl, Rye Brook, NY 10573-3501 | 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).