BLAKE SPIRKO MD (Credential# 215760) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 6, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.
BLAKE SPIRKO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028257. The credential type is controlled substance registration for practitioner. The effective date is May 6, 1999. The expiration date is February 28, 2000. The business address is 9 Gretel Lane, Simsbury, CT 06070. The current status is inactive.
| Licensee Name | BLAKE SPIRKO MD |
| Credential ID | 215760 |
| Credential Number | CSP.0028257 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
9 Gretel Lane Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1999-05-06 |
| Expiration Date | 2000-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555164 | 1.037574 | Physician/Surgeon | 1999-03-12 | - 1999-11-30 | INACTIVE |
| Street Address | 9 GRETEL LANE |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth L Spirko | 9 Gretel Lane, Simsbury, CT 06070 | Licensed Clinical Social Worker | 2000-09-28 ~ 2001-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Huong T Do | 323 Blake St Apt 64, New Haven, CT 06515-1260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer Sueyun Roh | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christopher S Lee | 400 Blake St Apt 5209, New Haven, CT 06515-4431 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Daedly Potusek | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-14 ~ 2021-02-28 |
| Samirah A Mohammed | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Danielle M Blake | 15 New St Apt 316, West Hartford, CT 06107-4231 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randolph S Thomas | 421 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2011-03-16 ~ 2013-02-28 |
| Trisha Blake | 2 Park Pl, Hartford, CT 06106-5007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frederick T Conlin | 400 Blake St, New Haven, CT 06515-4409 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Michael B Vollmar | 99 Blake Rd, Hamden, CT 06517 | 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).