HENRY L VLADYKA PA (Credential# 356330) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
HENRY L VLADYKA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034445. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 56 Connery Rd, Middletown, CT 06457. The current status is active.
| Licensee Name | HENRY L VLADYKA PA |
| Credential ID | 356330 |
| Credential Number | CSP.0034445 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
56 Connery Rd Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-12-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743128 | 23.001379 | Physician Assistant | 2003-09-17 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 56 CONNERY RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alfred J Richards | 56 Connery Rd, Middletown, CT 06457 | Pharmacist | 1800-12-27 ~ 1988-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry B C Low Md | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dan A Henry | 115 Orchard Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Henry H Frenkel Md | 132 Valley Cir, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Henry D Todd Md | 201 N Mountain Rd, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Henry E Markley Md | 16 Wyngate Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Henry Lin Md | 10 City Pl Apt 23c, White Plains, NY 10601-3344 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kelly A Kyanko Md | 75 Henry St Apt 28c, Brooklyn, NY 11201-1963 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Henry C Ho | 20 York Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-05-31 ~ 2015-02-28 |
| Henry Stoll Pa | 629 Willow St, Mamaroneck, NY 10543 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Henry P Chicaiza | 11 Quail Run Rd, Suffield, CT 06078-1802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on HENRY L VLADYKA PA.
| 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).