LAURA S NOWACKI MD (Credential# 555080) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
LAURA S NOWACKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037490. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 50 Bennetts Bridge Road, Sandy Hook, CT 06482. The current status is active.
Licensee Name | LAURA S NOWACKI MD |
Credential ID | 555080 |
Credential Number | 1.037490 |
Credential Type | Physician/Surgeon |
Business Address |
50 Bennetts Bridge Road Sandy Hook CT 06482 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-01-29 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
212837 | CSP.0028019 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
742151 | 23.000402 | Physician Assistant | 1993-12-03 | 1994-06-01 - 1995-05-31 | INACTIVE |
Street Address | 50 BENNETTS BRIDGE ROAD |
City | SANDY HOOK |
State | CT |
Zip Code | 06482 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine A D'aquila | 4 Fleetwood Drive, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Deanna M Galanis | 9 Riverside Road, Sandy Hook, CT 06482 | Eyelash Technician | 2020-06-26 ~ 2022-02-28 |
Bruce J Kerns | 42 Great Quarter Rd, Sandy Hook, CT 06482 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
Nancy B Sheehan | 6 Clearview Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Elisa A Keenan | 8 Farview Dr, Sandy Hook, CT 06482 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
Children's Adventure Center Inc. | 14 Riverside Road, Sandy Hook, CT 06482 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Linda J Wallace | 80 Walnut Tree Hill, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Gina E Long | 35 Poplar Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Phillip M Lombardo | 42 Berkshire Road, Sandy Hook, CT 06482 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Robert D Mitchell | 71 Osborn Hill Rd, Sandy Hook, CT 06482 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06482 |
City | SANDY HOOK |
Zip Code | 06482 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SANDY HOOK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laura Popper | 116 E 66th St, New York, NY 10065-6547 | Physician/surgeon | ~ |
Laura Chen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ |
Laura R Triano | Po Box 167, Milldale, CT 06467-0167 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Laura A Dove | 248 Deepwoods Dr, Longmeadow, MA 01106-2137 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Laura J Horvath Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Laura J Alexander | 113 Valentine Pl Apt 960, Ithaca, NY 14850-6176 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Laura M Debrot | 220 W Jersey St Apt 5e, Elizabeth, NJ 07202-1309 | Physician/surgeon | 2011-04-15 ~ 2011-09-30 |
Laura J Pickett | 400 Main St, Farmington, CT 06032-2906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Laura C. Been | Po Box 2386, Round Rock, TX 78680-2386 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Laura P Devita Md | 90 Locust Ave, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).