STEPHEN POLEZONIS OD (Credential# 45171) 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.
STEPHEN POLEZONIS OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025153. 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 12 Botelle Mnr, Cromwell, CT 06416-1301. The current status is active.
| Licensee Name | STEPHEN POLEZONIS OD |
| Credential ID | 45171 |
| Credential Number | CSP.0025153 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 Botelle Mnr Cromwell CT 06416-1301 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 762820 | 3.002150 | Optometrist | 1987-08-07 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 12 BOTELLE MNR |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole L Garcia Ferrara | 15 Botelle Mnr, Cromwell, CT 06416-1301 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Faye M Tine | 24 Botelle Mnr, Cromwell, CT 06416-1301 | Speech and Language Pathologist | 2020-01-01 ~ 2020-12-31 |
| Nicole E Mchugh | 17 Botelle Manor, Cromwell, CT 06416-1301 | Professional Counselor | 2019-11-01 ~ 2020-10-31 |
| Lindsay M Balesano | 10 Botelle Mnr, Cromwell, CT 06416-1301 | Hairdresser/cosmetician | 2018-02-01 ~ 2020-01-31 |
| Michael T Butkovic | 15 Botelle Mnr, Cromwell, CT 06416-1301 | Heating, Piping & Cooling Operating Engineer Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen E Adolfsen | 22 Ark Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Stephen K Wong | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephen F Carolan | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen D Rosenman | Fairfield, CT 06824-1983 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stephen V Sharnick | York, PA 17404 | Controlled Substance Registration for Practitioner | 2011-07-17 ~ 2013-02-28 |
| Stephen J Scott Dds | 40 East Putnam Ave, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen Nelson | 154 W Rock Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephen G Erickson | 599 Main St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen P Herman | 74 Beardsley Rd, New Milford, CT 06776-3956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen Katz Dds | 27 Quail Rd, Greenwich, CT 06831-3370 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).