MADISON LYNN MATYJAS (Credential# 1688479) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 4, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MADISON LYNN MATYJAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072341. The credential type is controlled substance registration for practitioner. The effective date is September 4, 2019. The expiration date is February 28, 2021. The business address is 5435 Mapleton Rd, Lockport, NY 14094-9295. The current status is active.
| Licensee Name | MADISON LYNN MATYJAS |
| Credential ID | 1688479 |
| Credential Number | CSP.0072341 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5435 Mapleton Rd Lockport NY 14094-9295 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-04 |
| Effective Date | 2019-09-04 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1672984 | 23.004576 | Physician Assistant | 2019-09-04 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 5435 MAPLETON RD |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-9295 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christina Francesca Bordieri | 380 Walnut St, Lockport, NY 14094 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| James L Klino | 5788 Stone Rd, Lockport, NY 14094 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elizabeth Linda Ricketts | 7008 Arrowhead Drive, Lockport, NY 14094 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Brian D Shiah | 6972 Lockwood Ct, Lockport, NY 14094 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Wayne J Giambrone | 4822 Upper Mountain Rd, Lockport, NY 14094 | Professional Engineer | ~ |
| James Costanzo | 6942 Lockwood Lane, Lockport, NY 14094 | Home Improvement Salesperson | 2007-03-02 ~ 2007-11-30 |
| Mitchel Swan | 5809 Constock Rd., Lockport, NY 14094 | Hoisting Equipment Operator | 2004-04-02 ~ 2006-04-01 |
| Bbx Inc · Boston Buffalo | 7310 Chestnut Ridge Road, Lockport, NY 14094 | Transporter Liquor | 2015-03-06 ~ 2016-03-05 |
| Edward M Schiller | 5860 Dunnigan Rd, Lockport, NY 14094 | Professional Engineer | 1995-01-18 ~ 1996-01-31 |
| Charles A Dahlke | 6701 S Transit Rd, Lockport, NY 14094 | Architect | 2013-02-25 ~ 2013-07-31 |
| Find all Licenses in zip 14094 | |||
| City | LOCKPORT |
| Zip Code | 14094 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LOCKPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allan Munzenmaier Dmd | 46 Madison Ave, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Denham B Crafton II | Madison Sq Suite 4, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Louis S Dominguez | 54 Bessom St Apt 1, Lynn, MA 01902-1205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lisa Lynn Milne | Po Box 394, Millinocket, ME 04462-0394 | Controlled Substance Registration for Practitioner | 2019-02-05 ~ 2021-02-28 |
| Lynn Fortin Dvm | 177 Day Street, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn S Model | 906 1/2 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-04-04 ~ 2015-02-28 |
| Lynn K Weisbord Md | 725 Taunton Rd, Wilmington, DE 19803-1709 | Controlled Substance Registration for Practitioner | 2008-03-24 ~ 2009-02-28 |
| Lynn T Tanoue | 333 Cedar St # Bb-110, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn K Hettinger Dvm | 245 Brimfield Rd, Wethersfield, CT 06109-3311 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn M Stramaglia | 4 Flint St, Trumbull, CT 06611-3026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).