DANIEL HANSON BLATZ (Credential# 2044283) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 12, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DANIEL HANSON BLATZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073986. The credential type is controlled substance registration for practitioner. The effective date is May 12, 2020. The expiration date is February 28, 2021. The business address is 2332 W Grand Ave, Chicago, IL 60612-1439. The current status is active.
| Licensee Name | DANIEL HANSON BLATZ |
| Credential ID | 2044283 |
| Credential Number | CSP.0073986 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2332 W Grand Ave Chicago IL 60612-1439 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-12 |
| Effective Date | 2020-05-12 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-05-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1995777 | 1.065459 | Physician/Surgeon | 2020-05-12 | 2020-05-12 - 2021-02-28 | ACTIVE |
| Street Address | 2332 W GRAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-1439 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Agati · Agati Furniture | 451 N Claremont Ave., Chicago, IL 60612 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Richardson Seating Corporation | 2545 W Arthington St., Chicago, IL 60612 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Adam Rodos | 808 S. Wood St., Chicago, IL 60612 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Muhammad Najjar | 2242 W Harrison St, Chicago, IL 60612 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Great Central Brewery LLC · Finch Brewing | 221 N Wood, Chicago, IL 60612 | Out of State Shipper Beer | 2017-04-05 ~ 2018-04-04 |
| Brian H Leav | 515 N Claremont Ave, Chicago, IL 60612 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Sunanda H Kandi | 1926 W. Harrison Street, Chicago, CT 60612 | Physician/surgeon | 2006-08-30 ~ 2007-01-31 |
| Shruti R Shinde | 2306 W Taylor St Apt #1, Chicago, IL 60612 | Physical Therapist Assistant | ~ |
| Saad J Jawdi | P.o.box 12127, Chicago, IL 60612 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Alma Tijerina | 2327 West Ohio, Chicago, IL 60612 | Radiographer | 2000-04-24 ~ 2000-07-31 |
| Find all Licenses in zip 60612 | |||
| City | CHICAGO |
| Zip Code | 60612 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHICAGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles D Hanson | 131 Daniel Webster Hwy # 106, Nashua, NH 03060-5224 | Controlled Substance Registration for Practitioner | 2018-12-03 ~ 2021-02-28 |
| Sean M Hanson | 12 Roosevelt Dr, Seymour, CT 06483 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joshua A Hanson | 28 Odell Ave, Milford, CT 06460-7346 | Controlled Substance Registration for Practitioner | 2011-07-06 ~ 2013-02-28 |
| Gail Marie Hanson-mayer | 26 Eastern Ave, Lexington, MA 02421 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne T Blatz · Blatz | 11 Woodlawn Ave, Enfield, CT 06082 | Radiographer | 2019-10-01 ~ 2020-09-30 |
| Nicholas P Pietris | 2268 Daniel Island Drive, Daniel Island, SC 29492 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Daniel Southern Md | Daniel Owen Smith Southern, M.d., Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel G Kramer | Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel Morgensztern | Fmp 121, New Haven, CT 06510-8028 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Daniel S Husted | 22 Ark Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on DANIEL HANSON BLATZ.
| 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).