ANDREA MCCULLOUGH-HLOBIK DO (Credential# 469377) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
ANDREA MCCULLOUGH-HLOBIK DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041405. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 92 New London Tpke, Norwich, CT 06360-2637. The current status is lapsed.
| Licensee Name | ANDREA MCCULLOUGH-HLOBIK DO |
| Credential ID | 469377 |
| Credential Number | CSP.0041405 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
92 New London Tpke Norwich CT 06360-2637 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2007-05-03 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562846 | 1.045264-DO | Physician/Surgeon | 2007-04-03 | 2017-05-01 - 2018-04-30 | INACTIVE |
| Street Address | 92 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2637 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard W Geller | 92 New London Tpke, Norwich, CT 06360-2616 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nancy K Cusmano Md | 92 New London Tpke, Norwich, CT 06360 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Timothy J Sullivan | 92 New London Tpke, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth S Burke-roberts | 92 New London Tpke, Norwich, CT 06360 | Advanced Practice Registered Nurse | 2014-05-01 ~ 2015-04-30 |
| Jennifer B O'brien Aprn | 92 New London Tpke, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Paul Mccullough | 18 Nancy Pl, Massapequa, NY 11758-4320 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| William B Mccullough | 60 Temple Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Julie C Mccullough | 321 Canterbury Lane, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| April J Mccullough | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Timothy C Mccullough Do | 330 Washington St. Suite 350, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Margy E Mccullough-hicks | 360 State St Apt 2805, New Haven, CT 06510-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Megan Mccullough | 20 York Street Tompkins 2, Rm 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn A D'andrea | 403 Whitney, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-06-03 ~ 1996-06-01 |
| Andrea T Fossati Md | 25 Old Mountain Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Andrea Stewart | 202 Mirra Dr, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANDREA MCCULLOUGH-HLOBIK DO.
| 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).