NICOLE G BAARCK (Credential# 1659159) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.
NICOLE G BAARCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063467-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2023. The business address is 80 Seymour St, Hartford, CT 06102-8000. The current status is active.
| Licensee Name | NICOLE G BAARCK |
| Credential ID | 1659159 |
| Credential Number | 1.063467-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
80 Seymour St Hartford CT 06102-8000 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2019-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1658192 | CSP.0071055 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-21 | 2019-05-21 - 2021-02-28 | ACTIVE |
| Street Address | 80 SEYMOUR ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-8000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pragya Kalla | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Luis Ruisanchez-gonzalez | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ignatius Ang | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Matteen Hakim | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Padma Priya Kondur Puttagunta | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Krishna Patel | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Michael Ghassemlou | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ashley Sanchez Ramos | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Madeline Jacobs | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Tien En Edison Lee | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohammad I Alshelleh | 80 Seymour St Ste 502, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Konstadina Darsaklis | 85 Jefferson Street (jefferson Building), Hartford, CT 06102-8000 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Peter Paul Yu | 195 Retreat Avenue, Hartford, CT 06102-8000 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Besiana L Liti | 80 Seymour St Bldg 217, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Aparna Vaddiparti | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hema D. Brazell Md | 85 Seymour St Mob 525, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mark W Sebastian Md | 80 Seymour St # Cb-136, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kseniya Khmara | 100 Retreat Ave, Hartford, CT 06102-8000 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Zohra Salehi | 500 Albany Ave, Hartford, CT 06102-8000 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Igor Georgievskiy | 80 Seymour St Ste 502, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102-8000 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | HARTFORD |
| Zip Code | 06102 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Rainville | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2023-06-30 |
| Nicole L Roeder | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2015-07-21 ~ 2021-06-30 |
| Monica Nicole Williams | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Ashley Nicole Parks | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Nicole Rebecca Amoyal | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-08 ~ 2018-06-30 |
| Nicole Zell | 4448 Luckystone Way, Medina, OH 44256-5587 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Nicole Lamas | 71 John Olds Dr. Apt 201, Manchester, CT 06042 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicole Tran | 1351 Washington Blvd Ste 400, Stamford, CT 06902-2449 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Renee Nicole Rivas | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jeremy Bradley Jacox | 46 Nicole Ct, East Haven, CT 06512-1546 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
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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).