JAN ROZYCKI MD
Physician/surgeon


Address: 1389 W Main St Suite 311, Waterbury, CT 06708

JAN ROZYCKI MD (Credential# 541909) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 10, 1998. The license expiration date date is May 31, 1999. The license status is INACTIVE.

Business Overview

JAN ROZYCKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016449. The credential type is physician/surgeon. The effective date is March 10, 1998. The expiration date is May 31, 1999. The business address is 1389 W Main St Suite 311, Waterbury, CT 06708. The current status is inactive.

Basic Information

Licensee Name JAN ROZYCKI MD
Credential ID 541909
Credential Number 1.016449
Credential Type Physician/Surgeon
Business Address 1389 W Main St Suite 311
Waterbury
CT 06708
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1974-01-07
Effective Date 1998-03-10
Expiration Date 1999-05-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
161329 CSP.0022447 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 1389 W MAIN ST SUITE 311
City WATERBURY
State CT
Zip Code 06708

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City WATERBURY
Zip Code 06708
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WATERBURY

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Dataset Information

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).

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