ABBIGAIL SMAJDA (Credential# 1688482) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ABBIGAIL SMAJDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072343. The credential type is controlled substance registration for practitioner. The effective date is August 28, 2019. The expiration date is February 28, 2021. The business address is 2272 Benchmark Ln, Johnstown, PA 15905-1601. The current status is active.
| Licensee Name | ABBIGAIL SMAJDA |
| Credential ID | 1688482 |
| Credential Number | CSP.0072343 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2272 Benchmark Ln Johnstown PA 15905-1601 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-28 |
| Effective Date | 2019-08-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1667640 | 23.004552 | Physician Assistant | 2019-08-01 | 2019-08-01 - 2020-08-31 | ACTIVE |
| Street Address | 2272 BENCHMARK LN |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-1601 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julianne Rose Legath | 1828 Pitt Avenue, Johnstown, PA 15905 | Registered Nurse | 2018-11-05 ~ 2019-03-31 |
| Katherine Ann Nayock | 618 Glenwood Ave, Johnstown, PA 15905 | Registered Nurse | 2016-12-06 ~ 2017-12-31 |
| Kristie L Gartner | 1379 Kemmer Street, Johnstown, PA 15905 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| David H Gartner II | 1379 Kemmer St, Johnstown, PA 15905 | Non-water Supply Driller | 2014-05-01 ~ 2015-04-30 |
| Michael L Mathis | 178 Shenkelview Dr, Johnstown, PA 15905 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Celine Gisbert | 1910 Dundee Lane, Johnson, PA 15905 | Physician/surgeon | 2008-04-11 ~ 2009-04-30 |
| John B Nobiletti | 1006 Calvin Dr, Johnstown, PA 15905 | Physician/surgeon | 1998-06-08 ~ 1999-04-30 |
| Albert K Mall | Penn Highlands, Johnstown, PA 15905 | Physician/surgeon | 1997-06-30 ~ 1998-07-31 |
| Arunasree Pothuraju | 120 Nice Avenue, Johnstown, PA 15905 | Physician/surgeon | 2007-06-22 ~ 2007-07-31 |
| Roberta J Nicholson | 1179 Tire Hill Road, Johnstown, PA 15905 | Registered Nurse | 2007-08-13 ~ 2008-08-31 |
| Find all Licenses in zip 15905 | |||
| City | JOHNSTOWN |
| Zip Code | 15905 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + JOHNSTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gad Lavy Md | Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zhi Xin Xu Md | 47-46 190th St, Flushing, NY 11358 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on ABBIGAIL SMAJDA.
| 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).