TAMARA JG WRZESINSKI MD (Credential# 403460) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
TAMARA JG WRZESINSKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037394. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 6 Northwestern Dr Ste 101, Bloomfield, CT 06002-3416. The current status is inactive.
| Licensee Name | TAMARA JG WRZESINSKI MD |
| Credential ID | 403460 |
| Credential Number | CSP.0037394 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Northwestern Dr Ste 101 Bloomfield CT 06002-3416 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-05-03 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560885 | 1.043303 | Physician/Surgeon | 2005-04-08 | 2010-07-01 - 2011-06-30 | INACTIVE |
| Street Address | 6 NORTHWESTERN DR STE 101 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3416 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tigist D Ashagari | 6 Northwestern Dr Ste 201, Bloomfield, CT 06002-3416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen H Wrzesinski Md | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Tamara Kamash | 106 E 116th St Apt 16, New York, NY 10029-1350 | Controlled Substance Registration for Practitioner | 2020-02-06 ~ 2021-02-28 |
| Tamara A Trella Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Tamara L Jessiman Lnm | 31 Gerard St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Tamara J Vasquez | 124 White Oak Ave, Plainville, CT 06062-2527 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tamara Vanderwal | 30 Union St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tamara R Kuittinen | 35 Marshall Rd, Ridgefield, CT 06877-4820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tamara A.s. John | 400 Blake St Apt 4310, New Haven, CT 06515-4420 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tamara M Sachs | 15 Bennitt Street, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tamara Kaliszewski Pa | 47 Cesca Lane, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on TAMARA JG WRZESINSKI 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).