DIANE MERICNYAK (Credential# 158559) 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.
DIANE MERICNYAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019007. 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 6 Jan's Court, Monroe, CT 06468. The current status is active.
Licensee Name | DIANE MERICNYAK |
Credential ID | 158559 |
Credential Number | CSP.0019007 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
6 Jan's Court Monroe CT 06468 |
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 | 2019-01-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
610543 | 10.E39800 | Registered Nurse | 1977-09-23 | 2019-10-01 - 2020-09-30 | ACTIVE |
678409 | 12.000217 | Advanced Practice Registered Nurse | 1991-03-12 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | 6 JAN'S COURT |
City | MONROE |
State | CT |
Zip Code | 06468 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Liliya Maklyan | 31 Pastors Walk, Monroe, CT 06468 | Esthetician | ~ |
Marion K Becker | 54 Greenwood Drive, Monroe, CT 06468 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Valerie Matte-zabin | 139 Bart Rd, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Hang T Dang | 150 Main St, Monroe, CT 06468 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
Leanne M Grace | 79 Pastors Walk, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Alicia Marie Walker | 12 Edgewood Road, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Trina Duong | 202f Windgate Cir, Monroe, CT 06468 | Nail Technician | ~ |
Julie M Boardman | 95 Richards Drive, Monroe, CT 06468 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Marilia Curral Giacobbe | 260 Cutlers Farm Road, Monroe, CT 06468 | Notary Public Appointment | 2015-03-01 ~ 2020-02-28 |
Jane E Allen · Eschweiler | 3 Timber Dr, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06468 |
City | MONROE |
Zip Code | 06468 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MONROE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Diane Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Diane M Petroski | 44 Campfield Rd, Manchester, CT 06040-5715 | Controlled Substance Registration for Practitioner | 2011-02-15 ~ 2013-02-28 |
Diane Chan | 25 Thatcher St Apt 1, Brookline, MA 02446-3532 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Diane L Whitaker-worth Md | 26 Fox Den Rd, Avon, CT 06001-2542 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ali Shakibai | 53 Diane Dr, Vernon Rockville, CT 06066-6205 | Controlled Substance Registration for Practitioner | 2017-07-27 ~ 2019-02-28 |
Diane M Durgan | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
Diane Presnick | 177 Romulus Rd, Cheshire, CT 06410-3535 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Diane L Batza | 522 Aberdeen St, Carmel, IN 46032 | Controlled Substance Registration for Practitioner | ~ |
Leann M Laspino | 22 Diane Ln, Colchester, CT 06415-1756 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Diane Paggioli | 63 Clinton St, Newport, RI 02840-3906 | Controlled Substance Registration for Practitioner | 2017-02-28 ~ 2019-02-28 |
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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).