DANIEL J MIZAK (Credential# 541687) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.
DANIEL J MIZAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015918. The credential type is physician/surgeon. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 49 Bunker Hill Dr, Trumbull, CT 06611-1458. The current status is inactive.
| Licensee Name | DANIEL J MIZAK |
| Credential ID | 541687 |
| Credential Number | 1.015918 |
| Credential Type | Physician/Surgeon |
| Business Address |
49 Bunker Hill Dr Trumbull CT 06611-1458 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1973-03-22 |
| Effective Date | 2016-02-01 |
| Expiration Date | 2017-01-31 |
| Refresh Date | 2017-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147552 | CSP.0000076 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 49 BUNKER HILL DR |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-1458 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heide L Mizak | 49 Bunker Hill Dr, Trumbull, CT 06611 | Registered Nurse | 2010-08-01 ~ 2011-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mizak Realtors · Robert P Mizak | 5277 Main St, Trumbull, CT 06611 | Real Estate Broker | 2003-04-01 ~ 2004-03-31 |
| Donna A Mizak LLC | 37a Killian Ave, Trumbull, CT 06611-4117 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Joseph W Pawlik Md | 2544 Daniel Island Dr, Daniel Island, SC 29492-8905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Daniel R Canchola | CT | Physician/surgeon | ~ |
| Daniel S Ebbs | 788 E Spruce Ave, Fresno, CA 93720-3017 | Physician/surgeon | ~ |
| Daniel Owens | 921 S Adams St, Hinsdale, IL 60521-4315 | Physician/surgeon | ~ |
| Daniel A Moses | 16 Bathurst St., NSW 2025 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
| Daniel R. Wolpaw | Po Box 431, Agawam, MA 01001-0431 | Physician/surgeon | 1981-09-09 ~ 1982-03-31 |
| Daniel I Silvershein | Pleasantville, NY 10570 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Daniel Q. Levin | 69 5th Ave Apt 14g, New York, NY 10003-3009 | Physician/surgeon | 2014-02-19 ~ 2015-02-28 |
Please comment or provide details below to improve the information on DANIEL J MIZAK.
| 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).