KRISTINA C BYSTRAK (Credential# 1658100) is licensed (Resident Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2019. The license expiration date date is June 23, 2022. The license status is ACTIVE.
KRISTINA C BYSTRAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.001033-RES. The credential type is resident podiatrist. The effective date is June 24, 2019. The expiration date is June 23, 2022. The business address is 114 Woodland St, Hartford, CT 06105-1208. The current status is active.
Licensee Name | KRISTINA C BYSTRAK |
Credential ID | 1658100 |
Credential Number | 19.001033-RES |
Credential Type | Resident Podiatrist |
Credential SubCategory | RES |
Business Address |
114 Woodland St Hartford CT 06105-1208 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-24 |
Effective Date | 2019-06-24 |
Expiration Date | 2022-06-23 |
Refresh Date | 2019-05-17 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1667737 | CSP.0071502 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-11 | 2019-06-11 - 2021-02-28 | ACTIVE |
Street Address | 114 WOODLAND ST |
City | HARTFORD |
State | CT |
Zip Code | 06105-1208 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie M Peck | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Frank I Jackson | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Diana Andres | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Helen Stolyar | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
Alexander Almeida Larrea | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
Kenneth Bryan Keplinger | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kelly A Flynn Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa M Pintoff | 114 Woodland St Ofc Casemgt, Hartford, CT 06105-1208 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
Saadia Zafar Md | 114 Woodland St Flr 3, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
Julie M Peck | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2019-07-01 |
A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multi | Saint Francis Hospital and Medical Center, Hartford, CT 06105-1208 | Medical Marijuana Research Program | 2016-12-15 ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
Find all Licenses in zip 06105 |
City | HARTFORD |
Zip Code | 06105 |
License Type | Resident Podiatrist |
License Type + County | Resident Podiatrist + HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ian Richter | 153 Montague Rd, Shutesbury, MA 01072-9717 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
Jeffrey Novak | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Podiatrist | 2018-06-25 ~ 2021-06-30 |
Joseph R Fleck | 24 Park Pl Apt 5a, Hartford, CT 06106-5020 | Resident Podiatrist | 2018-07-01 ~ 2021-06-30 |
Kevin Jiang | 33 Willard St Apt 1b, New Haven, CT 06515-2152 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
Jacob Nasser | 267 Grant St., Bridgeport, CT 06610 | Resident Podiatrist | 2020-06-22 ~ 2023-06-30 |
Sruti Karwa | 21 Tamarack Trl, Hartsdale, NY 10530-3608 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
Matthew M D'angelo | 385 Coe Ave Apt 2, East Haven, CT 06512-4178 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
Ryan Slepoy | 267 Grant St., Bridgeport, CT 06610 | Resident Podiatrist | 2018-06-25 ~ 2021-06-30 |
Paulina Piekarska | 80 Oronoque Trl, Shelton, CT 06484-4949 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
He Helen Xu | 20 York Street, New Haven, CT 06510 | Resident Podiatrist | 2017-07-01 ~ 2019-06-30 |
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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).