MARY C E MIECZKOWSKI (Credential# 1632011) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 14, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARY C E MIECZKOWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070272. The credential type is controlled substance registration for practitioner. The effective date is February 14, 2019. The expiration date is February 28, 2021. The business address is 16 E Maxwell Dr, West Hartford, CT 06107-1403. The current status is active.
| Licensee Name | MARY C E MIECZKOWSKI |
| Credential ID | 1632011 |
| Credential Number | CSP.0070272 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 E Maxwell Dr West Hartford CT 06107-1403 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-02-14 |
| Effective Date | 2019-02-14 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680920 | 12.002742 | Advanced Practice Registered Nurse | 2002-08-26 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 613880 | 10.E43844 | Registered Nurse | 1981-09-14 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 320744 | CSP.0032725 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 16 E MAXWELL DR |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1403 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natale Teodoro | 36 E Maxwell Dr, West Hartford, CT 06107-1403 | Marital and Family Therapist | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian P Mieczkowski | 263 Farmington Avenue Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2009-03-03 ~ 2011-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Guy L Fish Md | St. Mary's Hospital, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Mary T Pronovost Md | 111 Beach Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary E Eslick | 59 Sachem St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary H Windels Md | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary A Arwady | 321 Grandview Ave Fl 3, Waterbury, CT 06708-2228 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Omotoke O Missih | 3 Mary Ann Ln, Wallingford, CT 06492-4914 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
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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).