ROMAN CHRUCKY (Credential# 542025) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
ROMAN CHRUCKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016688. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 5 Old Mill Rd, Trumbull, CT 06611. The current status is active.
| Licensee Name | ROMAN CHRUCKY |
| Credential ID | 542025 |
| Credential Number | 1.016688 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Old Mill Rd Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1974-06-25 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-10-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157601 | CSP.0017743 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-12-09 - 1995-08-01 | INACTIVE |
| Street Address | 5 OLD MILL RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| 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 |
|---|---|---|---|
| Roman A Klufas | 50 Galen Ct., Seekonk, MA 02771 | Physician/surgeon | ~ |
| Roman W. Matlaga | 15 Bodine Ln, Honesdale, PA 18431-4047 | Physician/surgeon | 2012-01-12 ~ 2012-08-31 |
| Roman Alder Md | 4 Main St, New Milford, CT 06776-2802 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Tina Roman | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Roman A Tuma | 150 Everit Street, New Haven, CT 06511 | Physician/surgeon | 2000-02-11 ~ 2001-01-31 |
| Sanziana A Roman Md | 333 Cedar Street, New Haven, CT 06520-8062 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Roman Khodzinsky | 37 Sara Circle, North Haven, CT 06473 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Antonio Regino Roman | 1975 Delaware Ave, Buffalo, NY 14216-3569 | Physician/surgeon | 1988-07-08 ~ 1989-01-31 |
| Roman T Pachulski | 4630 Center Blvd Apt 1104, Long Island City, NY 11109-5731 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Samuel Roman · Roman Construction | 64 Steven St, New Haven, CT 06519 | Home Improvement Contractor | 1999-01-25 ~ 1999-11-30 |
Please comment or provide details below to improve the information on ROMAN CHRUCKY.
| 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).