GRACE PAK MD (Credential# 175769) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
GRACE PAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024525. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 195 Old Kings Highway North, Darien, CT 06820. The current status is inactive.
| Licensee Name | GRACE PAK MD |
| Credential ID | 175769 |
| Credential Number | CSP.0024525 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
195 Old Kings Highway North Darien CT 06820 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552864 | 1.035271 | Physician/Surgeon | 1996-05-31 | 1996-08-12 - 1997-08-31 | INACTIVE |
| Street Address | 195 OLD KINGS HIGHWAY NORTH |
| City | DARIEN |
| State | CT |
| Zip Code | 06820 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisbeth Alexandra Gutierrez | 13 Casper Street, Danbury, CT 06820 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Sonia L Morales | Po Box 2351, Darien, CT 06820 | Master's Level Social Worker | ~ |
| Belle Stobbie | 1 Salt Box Lane, Darien, CT 06820 | Registered Nurse | 2020-06-26 ~ 2021-02-28 |
| Jessica Stygares | 110 Hecker Avenue, Darien, CT 06820 | Speech and Language Pathologist | ~ |
| John M Neary | 31 Hoyt St, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin D Gray | 5 Old Stone Rd, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lindsay G Westbrook | 11 Oakshade Ave, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Darien Two Inc | 967 Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Darien Seafood Mkt Inc · Frate & Burt Seafood | 1941 Post Rd, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Bertucci's | 54 Boston Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06820 | |||
| City | DARIEN |
| Zip Code | 06820 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Y Cha | 38 Ward St Apt 4, Middletown, CT 06457-4139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Grace M Lee | 100 Temple St #201, New Haven, CT 06510-2331 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Grace J. Kim | 625 Whitney Ave Apt 6, New Haven, CT 06511-2281 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Grace Lee | 330 Cedar St, New Haven, CT 06510-3218 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
| Grace K Moy Md | 11 1/2 Greenwich Park Apt 3, Boston, MA 02118-3003 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Grace H. Hong | 76 Pyquag Ln, Glastonbury, CT 06033-1856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nathan H Brewer | 10 Grace Ln, Killingworth, CT 06419-1312 | Controlled Substance Registration for Practitioner | 2011-07-21 ~ 2013-02-28 |
| Grace Chin Dds | 8 Bradshaw Ct, Hillsdale, NJ 07642-2453 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Grace H Lin Md | 150 Southfield Av 1140, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Grace A Nakos | 141 Hebron Ave, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GRACE PAK MD.
| 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).