THOMAS D CHMIELEWSKI
Controlled Substance Registration for Practitioner


Address: 50 Desousa Dr, Manchester, CT 06040-7143

THOMAS D CHMIELEWSKI (Credential# 156280) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

THOMAS D CHMIELEWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014578. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 50 Desousa Dr, Manchester, CT 06040-7143. The current status is inactive.

Basic Information

Licensee Name THOMAS D CHMIELEWSKI
Credential ID 156280
Credential Number CSP.0014578
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 50 Desousa Dr
Manchester
CT 06040-7143
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-05-24
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
542767 1.018524 Physician/Surgeon 1976-11-30 2011-12-01 - 2012-11-30 INACTIVE

Office Location

Street Address 50 DESOUSA DR
City MANCHESTER
State CT
Zip Code 06040-7143

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Competitor

Search similar business entities

City MANCHESTER
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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